2014/scholarships/index.html

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  10         <title> Scholarships &mdash; LibrePlanet 2014</title>
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  43                                 <h1><a href="/2014/"> LibrePlanet <small>2014</small></a></h1>
  44                                 <p><strong>March 22nd-23rd 2014, MIT, Cambridge, MA</strong></p>
  45                                 <p class="text-muted">Free software, free society</p>
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  55                                 gratis for members and students!
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  82                   <!--<li class="active"><a href="/2014/scholarships">Scholarships (until January 10th)</a></li>-->
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  99                         <p class="text-muted text-center">and attend the conference gratis!</p>
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 101
 102                   <div class="col-sm-9"> <!-- start of Scholarships LP14 main text -->
 103                         <h2> Scholarship <small>application</small> </h2>
 104
 105                         <p>We are offering a limited number of travel scholarships to assist with expenses related to attending LibrePlanet 2014. While we cannot offer stipends to everyone who applies, we will do our best to bring as many people as possible from as many communities as possible. We are generally unable to cover 100% of your travel and hotel costs, applicants should be prepared to cover some portion of travel expenses. <strong>The application deadline for travel stipends is Friday, January 10, 2014 at 22:00 UTC (17:00 EST).</strong></p>
 106
 107                         <p>One of the goals of our scholarship program is to increase participation by marginalized groups in our conference. We ask for information about your gender, racial, ethnic, and other identities to help us meet this goal. All of these fields are optional.</p>
 108
 109                         <form action="https://crm.fsf.org/civicrm/profile/create?gid=250&amp;reset=1"
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 120
 121                           <div id="crm-container" class="crm-container crm-public" lang="en"
 122                                    xml:lang="en">
 123
 124
 125                                 <div id="editrow-first_name"
 126                                          class="form-group">
 127                                   <label class="col-sm-3 control-label" for="first_name">
 128                                         First Name
 129                                         <span class="field-required">*</span>
 130                                   </label>
 131                                   <div class="col-sm-5">
 132                                         <input class="form-control"
 133                                                    name="first_name"
 134                                                    type="text" id="first_name" required>
 135                                   </div>
 136                                 </div>
 137
 138                                 <div id="editrow-last_name" class="form-group">
 139                                   <label class="col-sm-3 control-label"
 140                                                  for="last_name">
 141                                         Last Name
 142                                         <span class="field-required">*</span>
 143                                   </label>
 144                                   <div class="col-sm-5">
 145                                         <input
 146                                            name="last_name"
 147                                            type="text"
 148                                            id="last_name"
 149                                            class="form-control" required>
 150                                   </div>
 151                                 </div>
 152
 153                                 <div id="editrow-email-Primary" class="form-group">
 154                                   <label for="email-Primary" class="col-sm-3 control-label">
 155                                         Email
 156                                         <span class="field-required">*</span>
 157                                   </label>
 158
 159                                   <div class="col-sm-5">
 160                                         <input name="email-Primary"
 161                                                    class="form-control"
 162                                                    type="email" id="email-Primary"
 163                                                    placeholder="Your email address" required>
 164                                   </div>
 165                                 </div>
 166
 167                                 <div class="form-group"
 168                                          id="helprow-street_address-Primary">
 169                                   <div class="col-sm-offset-3 col-sm-5">
 170                                         <p class="help-block scholarship-input-annotation">
 171                                           <small>Please tell us where you're coming from.</small>
 172                                         </p>
 173                                   </div>
 174                                 </div>
 175
 176                                 <div id="editrow-street_address-Primary" class="form-group">
 177                                   <label class="col-sm-3 control-label"
 178                                                  for="street_address-Primary">
 179                                         Street Address
 180                                   </label>
 181                                   <div class="col-sm-7">
 182                                         <input name="street_address-Primary" type="text"
 183                                                    id="street_address-Primary" class="form-control">
 184                                   </div>
 185                                 </div>
 186
 187                                 <div id="editrow-city-Primary"
 188                                          class="form-group">
 189                                   <label class="col-sm-3 control-label" for="city-Primary">
 190                                         City
 191                                   </label>
 192                                   <div
 193                                          class="col-sm-5">
 194                                         <input name="city-Primary" type="text" id="city-Primary" class="form-control"
 195                                                    />
 196                                   </div>
 197                                 </div>
 198
 199                                 <div id="editrow-postal_code-Primary" class="form-group">
 200                                   <label class="col-sm-3 control-label"
 201                                                  for="postal_code-Primary">
 202                                         Postal Code
 203                                   </label>
 204                                   <div class="col-sm-5">
 205                                         <input
 206                                            name="postal_code-Primary" type="text" id="postal_code-Primary"
 207                                            class="form-control" />
 208                                   </div>
 209                                 </div>
 210
 211                                 <div id="editrow-country-Primary" class="form-group">
 212                                   <label class="col-sm-3 control-label" for="country-Primary">
 213                                         Country
 214                                         <span class="field-required">*</span>
 215                                   </label>
 216                                   <div class="col-sm-5">
 217                                         <select
 218                                            name="country-Primary" id="country-Primary" class="form-control"
 219                                            required>
 220                                           <option value="">- select -</option>
 221                                           <option value="1228" selected="selected">United States</option>
 222                                           <option value="1001">Afghanistan</option>
 223                                           <option value="1241">Åland Islands</option>
 224                                           <option value="1002">Albania</option>
 225                                           <option value="1003">Algeria</option>
 226                                           <option value="1004">American Samoa</option>
 227                                           <option value="1005">Andorra</option>
 228                                           <option value="1006">Angola</option>
 229                                           <option value="1007">Anguilla</option>
 230                                           <option value="1008">Antarctica</option>
 231                                           <option value="1009">Antigua and Barbuda</option>
 232                                           <option value="1010">Argentina</option>
 233                                           <option value="1011">Armenia</option>
 234                                           <option value="1012">Aruba</option>
 235                                           <option value="1013">Australia</option>
 236                                           <option value="1014">Austria</option>
 237                                           <option value="1015">Azerbaijan</option>
 238                                           <option value="1212">Bahamas</option>
 239                                           <option value="1016">Bahrain</option>
 240                                           <option value="1017">Bangladesh</option>
 241                                           <option value="1018">Barbados</option>
 242                                           <option value="1019">Belarus</option>
 243                                           <option value="1020">Belgium</option>
 244                                           <option value="1021">Belize</option>
 245                                           <option value="1022">Benin</option>
 246                                           <option value="1023">Bermuda</option>
 247                                           <option value="1024">Bhutan</option>
 248                                           <option value="1025">Bolivia</option>
 249                                           <option value="1250">Bonaire, Saint Eustatius and Saba</option>
 250                                           <option value="1026">Bosnia and Herzegovina</option>
 251                                           <option value="1027">Botswana</option>
 252                                           <option value="1028">Bouvet Island</option>
 253                                           <option value="1029">Brazil</option>
 254                                           <option value="1030">British Indian Ocean Territory</option>
 255                                           <option value="1032">Brunei Darussalam</option>
 256                                           <option value="1033">Bulgaria</option>
 257                                           <option value="1034">Burkina Faso</option>
 258                                           <option value="1036">Burundi</option>
 259                                           <option value="1037">Cambodia</option>
 260                                           <option value="1038">Cameroon</option>
 261                                           <option value="1039">Canada</option>
 262                                           <option value="1040">Cape Verde</option>
 263                                           <option value="1041">Cayman Islands</option>
 264                                           <option value="1042">Central African Republic</option>
 265                                           <option value="1043">Chad</option>
 266                                           <option value="1044">Chile</option>
 267                                           <option value="1045">China</option>
 268                                           <option value="1046">Christmas Island</option>
 269                                           <option value="1047">Cocos (Keeling) Islands</option>
 270                                           <option value="1048">Colombia</option>
 271                                           <option value="1049">Comoros</option>
 272                                           <option value="1051">Congo, Republic of the</option>
 273                                           <option value="1050">Congo, The Democratic Republic of the</option>
 274                                           <option value="1052">Cook Islands</option>
 275                                           <option value="1053">Costa Rica</option>
 276                                           <option value="1054">Côte d'Ivoire</option>
 277                                           <option value="1055">Croatia</option>
 278                                           <option value="1056">Cuba</option>
 279                                           <option value="1248">CuraÃ§ao</option>
 280                                           <option value="1057">Cyprus</option>
 281                                           <option value="1058">Czech Republic</option>
 282                                           <option value="1059">Denmark</option>
 283                                           <option value="1060">Djibouti</option>
 284                                           <option value="1061">Dominica</option>
 285                                           <option value="1062">Dominican Republic</option>
 286                                           <option value="1064">Ecuador</option>
 287                                           <option value="1065">Egypt</option>
 288                                           <option value="1066">El Salvador</option>
 289                                           <option value="1067">Equatorial Guinea</option>
 290                                           <option value="1068">Eritrea</option>
 291                                           <option value="1069">Estonia</option>
 292                                           <option value="1070">Ethiopia</option>
 293                                           <option value="1072">Falkland Islands (Malvinas)</option>
 294                                           <option value="1073">Faroe Islands</option>
 295                                           <option value="1074">Fiji</option>
 296                                           <option value="1075">Finland</option>
 297                                           <option value="1076">France</option>
 298                                           <option value="1077">French Guiana</option>
 299                                           <option value="1078">French Polynesia</option>
 300                                           <option value="1079">French Southern Territories</option>
 301                                           <option value="1080">Gabon</option>
 302                                           <option value="1213">Gambia</option>
 303                                           <option value="1081">Georgia</option>
 304                                           <option value="1082">Germany</option>
 305                                           <option value="1083">Ghana</option>
 306                                           <option value="1084">Gibraltar</option>
 307                                           <option value="1085">Greece</option>
 308                                           <option value="1086">Greenland</option>
 309                                           <option value="1087">Grenada</option>
 310                                           <option value="1088">Guadeloupe</option>
 311                                           <option value="1089">Guam</option>
 312                                           <option value="1090">Guatemala</option>
 313                                           <option value="1245">Guernsey</option>
 314                                           <option value="1091">Guinea</option>
 315                                           <option value="1092">Guinea-Bissau</option>
 316                                           <option value="1093">Guyana</option>
 317                                           <option value="1094">Haiti</option>
 318                                           <option value="1095">Heard Island and McDonald Islands</option>
 319                                           <option value="1096">Holy See (Vatican City State)</option>
 320                                           <option value="1097">Honduras</option>
 321                                           <option value="1098">Hong Kong</option>
 322                                           <option value="1099">Hungary</option>
 323                                           <option value="1100">Iceland</option>
 324                                           <option value="1101">India</option>
 325                                           <option value="1102">Indonesia</option>
 326                                           <option value="1103">Iran, Islamic Republic of</option>
 327                                           <option value="1104">Iraq</option>
 328                                           <option value="1105">Ireland</option>
 329                                           <option value="1246">Isle of Man</option>
 330                                           <option value="1106">Israel</option>
 331                                           <option value="1107">Italy</option>
 332                                           <option value="1108">Jamaica</option>
 333                                           <option value="1109">Japan</option>
 334                                           <option value="1244">Jersey</option>
 335                                           <option value="1110">Jordan</option>
 336                                           <option value="1111">Kazakhstan</option>
 337                                           <option value="1112">Kenya</option>
 338                                           <option value="1113">Kiribati</option>
 339                                           <option value="1114">Korea, Democratic People's Republic of</option>
 340                                           <option value="1115">Korea, Republic of</option>
 341                                           <option value="1251">Kosovo</option>
 342                                           <option value="1116">Kuwait</option>
 343                                           <option value="1117">Kyrgyzstan</option>
 344                                           <option value="1118">Lao People's Democratic Republic</option>
 345                                           <option value="1119">Latvia</option>
 346                                           <option value="1120">Lebanon</option>
 347                                           <option value="1121">Lesotho</option>
 348                                           <option value="1122">Liberia</option>
 349                                           <option value="1123">Libya</option>
 350                                           <option value="1124">Liechtenstein</option>
 351                                           <option value="1125">Lithuania</option>
 352                                           <option value="1126">Luxembourg</option>
 353                                           <option value="1127">Macao</option>
 354                                           <option value="1128">Macedonia, Republic of</option>
 355                                           <option value="1129">Madagascar</option>
 356                                           <option value="1130">Malawi</option>
 357                                           <option value="1131">Malaysia</option>
 358                                           <option value="1132">Maldives</option>
 359                                           <option value="1133">Mali</option>
 360                                           <option value="1134">Malta</option>
 361                                           <option value="1135">Marshall Islands</option>
 362                                           <option value="1136">Martinique</option>
 363                                           <option value="1137">Mauritania</option>
 364                                           <option value="1138">Mauritius</option>
 365                                           <option value="1139">Mayotte</option>
 366                                           <option value="1140">Mexico</option>
 367                                           <option value="1141">Micronesia, Federated States of</option>
 368                                           <option value="1142">Moldova</option>
 369                                           <option value="1143">Monaco</option>
 370                                           <option value="1144">Mongolia</option>
 371                                           <option value="1243">Montenegro</option>
 372                                           <option value="1145">Montserrat</option>
 373                                           <option value="1146">Morocco</option>
 374                                           <option value="1147">Mozambique</option>
 375                                           <option value="1035">Myanmar</option>
 376                                           <option value="1148">Namibia</option>
 377                                           <option value="1149">Nauru</option>
 378                                           <option value="1150">Nepal</option>
 379                                           <option value="1152">Netherlands</option>
 380                                           <option value="1153">New Caledonia</option>
 381                                           <option value="1154">New Zealand</option>
 382                                           <option value="1155">Nicaragua</option>
 383                                           <option value="1156">Niger</option>
 384                                           <option value="1157">Nigeria</option>
 385                                           <option value="1158">Niue</option>
 386                                           <option value="1159">Norfolk Island</option>
 387                                           <option value="1160">Northern Mariana Islands</option>
 388                                           <option value="1161">Norway</option>
 389                                           <option value="1162">Oman</option>
 390                                           <option value="1163">Pakistan</option>
 391                                           <option value="1164">Palau</option>
 392                                           <option value="1165">Palestinian Territory, Occupied</option>
 393                                           <option value="1166">Panama</option>
 394                                           <option value="1167">Papua New Guinea</option>
 395                                           <option value="1168">Paraguay</option>
 396                                           <option value="1169">Peru</option>
 397                                           <option value="1170">Philippines</option>
 398                                           <option value="1171">Pitcairn</option>
 399                                           <option value="1172">Poland</option>
 400                                           <option value="1173">Portugal</option>
 401                                           <option value="1174">Puerto Rico</option>
 402                                           <option value="1175">Qatar</option>
 403                                           <option value="1179">Reunion</option>
 404                                           <option value="1176">Romania</option>
 405                                           <option value="1177">Russian Federation</option>
 406                                           <option value="1178">Rwanda</option>
 407                                           <option value="1180">Saint Helena</option>
 408                                           <option value="1181">Saint Kitts and Nevis</option>
 409                                           <option value="1182">Saint Lucia</option>
 410                                           <option value="1183">Saint Pierre and Miquelon</option>
 411                                           <option value="1184">Saint Vincent and the Grenadines</option>
 412                                           <option value="1185">Samoa</option>
 413                                           <option value="1186">San Marino</option>
 414                                           <option value="1207">Sao Tome and Principe</option>
 415                                           <option value="1187">Saudi Arabia</option>
 416                                           <option value="1188">Senegal</option>
 417                                           <option value="1242">Serbia</option>
 418                                           <option value="1238">Serbia and Montenegro</option>
 419                                           <option value="1189">Seychelles</option>
 420                                           <option value="1190">Sierra Leone</option>
 421                                           <option value="1191">Singapore</option>
 422                                           <option value="1249">Sint Maarten (Dutch Part)</option>
 423                                           <option value="1192">Slovakia</option>
 424                                           <option value="1193">Slovenia</option>
 425                                           <option value="1194">Solomon Islands</option>
 426                                           <option value="1195">Somalia</option>
 427                                           <option value="1196">South Africa</option>
 428                                           <option value="1197">South Georgia and the South Sandwich Islands</option>
 429                                           <option value="1247">South Sudan</option>
 430                                           <option value="1198">Spain</option>
 431                                           <option value="1199">Sri Lanka</option>
 432                                           <option value="1200">Sudan</option>
 433                                           <option value="1201">Suriname</option>
 434                                           <option value="1202">Svalbard and Jan Mayen</option>
 435                                           <option value="1203">Swaziland</option>
 436                                           <option value="1204">Sweden</option>
 437                                           <option value="1205">Switzerland</option>
 438                                           <option value="1206">Syrian Arab Republic</option>
 439                                           <option value="1208">Taiwan</option>
 440                                           <option value="1209">Tajikistan</option>
 441                                           <option value="1210">Tanzania, United Republic of</option>
 442                                           <option value="1211">Thailand</option>
 443                                           <option value="1063">Timor-Leste</option>
 444                                           <option value="1214">Togo</option>
 445                                           <option value="1215">Tokelau</option>
 446                                           <option value="1216">Tonga</option>
 447                                           <option value="1217">Trinidad and Tobago</option>
 448                                           <option value="1218">Tunisia</option>
 449                                           <option value="1219">Turkey</option>
 450                                           <option value="1220">Turkmenistan</option>
 451                                           <option value="1221">Turks and Caicos Islands</option>
 452                                           <option value="1222">Tuvalu</option>
 453                                           <option value="1223">Uganda</option>
 454                                           <option value="1224">Ukraine</option>
 455                                           <option value="1225">United Arab Emirates</option>
 456                                           <option value="1226">United Kingdom</option>
 457                                           <option value="1227">United States Minor Outlying Islands</option>
 458                                           <option value="1229">Uruguay</option>
 459                                           <option value="1230">Uzbekistan</option>
 460                                           <option value="1231">Vanuatu</option>
 461                                           <option value="1232">Venezuela</option>
 462                                           <option value="1233">Viet Nam</option>
 463                                           <option value="1031">Virgin Islands, British</option>
 464                                           <option value="1234">Virgin Islands, U.S.</option>
 465                                           <option value="1235">Wallis and Futuna</option>
 466                                           <option value="1236">Western Sahara</option>
 467                                           <option value="1237">Yemen</option>
 468                                           <option value="1239">Zambia</option>
 469                                           <option value="1240">Zimbabwe</option>
 470                                         </select>
 471                                   </div>
 472                                 </div>
 473
 474                                 <div id="editrow-state_province-Primary" class="form-group">
 475                                   <label class="col-sm-3 control-label" for="state_province-Primary">
 476                                         State or Province
 477                                   </label>
 478                                   <div class="col-sm-5">
 479                                         <select name="state_province-Primary" id="state_province-Primary"
 480                                                         class="form-control">
 481                                           <option value="">- select -</option>
 482                                           <option value="1000">Alabama</option>
 483                                           <option value="1001">Alaska</option>
 484                                           <option value="1052">American Samoa</option>
 485                                           <option value="1002">Arizona</option>
 486                                           <option value="1003">Arkansas</option>
 487                                           <option value="1060">Armed Forces Americas</option>
 488                                           <option value="1059">Armed Forces Europe</option>
 489                                           <option value="1061">Armed Forces Pacific</option>
 490                                           <option value="1004">California</option>
 491                                           <option value="1005">Colorado</option>
 492                                           <option value="1006">Connecticut</option>
 493                                           <option value="1007">Delaware</option>
 494                                           <option value="1050">District of Columbia</option>
 495                                           <option value="1008">Florida</option>
 496                                           <option value="1009">Georgia</option>
 497                                           <option value="1053">Guam</option>
 498                                           <option value="1010">Hawaii</option>
 499                                           <option value="1011">Idaho</option>
 500                                           <option value="1012">Illinois</option>
 501                                           <option value="1013">Indiana</option>
 502                                           <option value="1014">Iowa</option>
 503                                           <option value="1015">Kansas</option>
 504                                           <option value="1016">Kentucky</option>
 505                                           <option value="1017">Louisiana</option>
 506                                           <option value="1018">Maine</option>
 507                                           <option value="1019">Maryland</option>
 508                                           <option value="1020">Massachusetts</option>
 509                                           <option value="1021">Michigan</option>
 510                                           <option value="1022">Minnesota</option>
 511                                           <option value="1023">Mississippi</option>
 512                                           <option value="1024">Missouri</option>
 513                                           <option value="1025">Montana</option>
 514                                           <option value="1026">Nebraska</option>
 515                                           <option value="1027">Nevada</option>
 516                                           <option value="1028">New Hampshire</option>
 517                                           <option value="1029">New Jersey</option>
 518                                           <option value="1030">New Mexico</option>
 519                                           <option value="1031">New York</option>
 520                                           <option value="1032">North Carolina</option>
 521                                           <option value="1033">North Dakota</option>
 522                                           <option value="1055">Northern Mariana Islands</option>
 523                                           <option value="1034">Ohio</option>
 524                                           <option value="1035">Oklahoma</option>
 525                                           <option value="1036">Oregon</option>
 526                                           <option value="1037">Pennsylvania</option>
 527                                           <option value="1056">Puerto Rico</option>
 528                                           <option value="1038">Rhode Island</option>
 529                                           <option value="1039">South Carolina</option>
 530                                           <option value="1040">South Dakota</option>
 531                                           <option value="1041">Tennessee</option>
 532                                           <option value="1042">Texas</option>
 533                                           <option value="1058">United States Minor Outlying Islands</option>
 534                                           <option value="1043">Utah</option>
 535                                           <option value="1044">Vermont</option>
 536                                           <option value="1057">Virgin Islands</option>
 537                                           <option value="1045">Virginia</option>
 538                                           <option value="1046">Washington</option>
 539                                           <option value="1047">West Virginia</option>
 540                                           <option value="1048">Wisconsin</option>
 541                                           <option value="1049">Wyoming</option>
 542                                         </select>
 543                                   </div>
 544                                 </div>
 545
 546                                 <hr/>
 547
 548                                 <div id="editrow-custom_147"
 549                                          class="form-group">
 550                                   <label class="col-sm-3 control-label">Age</label>
 551
 552                                   <div class="col-sm-9">
 553
 554                                         <label for="CIVICRM_QFID_20_or_under_2"
 555                                                    class="radio-inline">
 556                                           20 or under
 557                                           <input value="20 or under" type="radio"
 558                                                          id="CIVICRM_QFID_20_or_under_2"
 559                                                          name="custom_147" /></label>&nbsp;
 560
 561                                         <label for="CIVICRM_QFID_21_30_4"
 562                                                    class="radio-inline">
 563                                           21-30
 564                                           <input value="21-30" type="radio"
 565                                                          id="CIVICRM_QFID_21_30_4" name="custom_147" />
 566                                         </label>&nbsp;
 567
 568                                         <label class="radio-inline"
 569                                                    for="CIVICRM_QFID_31_40_6">31-40
 570                                           <input value="31-40"
 571                                                          type="radio" id="CIVICRM_QFID_31_40_6"
 572                                                          name="custom_147" />
 573                                         </label>&nbsp;
 574
 575                                         <label class="radio-inline"
 576                                            for="CIVICRM_QFID_41_50_8">
 577                                           41-50
 578                                           <input value="41-50"
 579                                                          type="radio"
 580                                                          id="CIVICRM_QFID_41_50_8"
 581                                                          name="custom_147"/>
 582                                         </label>&nbsp;
 583
 584                                         <label class="radio-inline"
 585                                                    for="CIVICRM_QFID_51_60_10">51-60
 586                                           <input value="51-60"
 587                                                          type="radio" id="CIVICRM_QFID_51_60_10"
 588                                                          name="custom_147"/></label>&nbsp;
 589
 590                                         <label class="radio-inline"
 591                                                    for="CIVICRM_QFID_61_12">61+
 592                                           <input value="61 +"
 593                                                          type="radio" id="CIVICRM_QFID_61_12"
 594                                                          name="custom_147"/></label>&nbsp;
 595
 596                                         <span class="radio-clear-link">
 597                                           (<a href="#"
 598                                                   title="unselect"
 599                                                   onclick="unselectRadio('custom_147', 'Edit'); return false;">
 600                                                 clear</a>)</span>
 601                                   </div>
 602                                 </div>
 603
 604
 605                                 <div id="editrow-custom_155" class="form-group">
 606                                   <label class="col-sm-3 control-label"
 607                                                  for="custom_155">
 608                                         Gender
 609                                   </label>
 610                                   <div class="col-sm-5">
 611                                         <input name="custom_155" type="text" id="custom_155"
 612                                                    class="form-control" />
 613                                   </div>
 614                                 </div>
 615
 616
 617                                 <div id="editrow-custom_156" class="form-group">
 618                                   <label class="col-sm-3 control-label"
 619                                                  for="custom_156">
 620                                         Race/Ethnicity</label>
 621                                   <div class="col-sm-5">
 622                                         <input name="custom_156" type="text" id="custom_156"
 623                                                    class="form-control" />
 624                                   </div>
 625                                 </div>
 626
 627                                 <div id="editrow-custom_150" class="form-group">
 628                                   <label for="custom_150"
 629                                                  class="col-sm-3 control-label">
 630                                         Additional Information
 631                                   </label>
 632                                   <div class="col-sm-9">
 633                                         <textarea rows="4" name="custom_150" id="custom_150"
 634                                                           class="form-control"></textarea>
 635                                         <p class="help-block"><small>We are working to increase the participation of marginalized groups at LibrePlanet. Please describe any other identity information you feel is important. These may include race, ethnicity, age, class background, ability/disability, national origin/citizenship status, gender, sexuality, religion/spiritual practice, geography/regional affiliations, education, types of work, etc.</small></p>
 636                                   </div>
 637                                 </div>
 638
 639                                 <div id="editrow-custom_154" class="form-group">
 640                                   <label class="col-sm-3 control-label" for="custom_154">
 641                                         Are there any special accommodations that would make it easier for you to attend LibrePlanet?
 642                                   </label>
 643                                   <div class="col-sm-9">
 644                                         <textarea rows="4" name="custom_154" id="custom_154"
 645                                                           class="form-control"></textarea>
 646                                         <p class="help-block"><small>Examples: ASL interpretation, wheelchair accessibility, etc.</small></p>
 647                                   </div>
 648                                 </div>
 649
 650                                 <div id="editrow-custom_151" class="form-group">
 651                                   <label class="col-sm-3 control-label" for="custom_151">
 652                                         Why do you want to attend LibrePlanet 2014?</label>
 653                                   <div class="col-sm-9">
 654                                         <textarea
 655                                            rows="4" name="custom_151" id="custom_151"
 656                                            class="form-control"></textarea>
 657                                   </div>
 658                                 </div>
 659
 660                                 <div id="editrow-custom_152" class="form-group">
 661                                   <label class="col-sm-3 control-label" for="custom_152">
 662                                         How do you plan to bring your
 663                                         experience back to your community?
 664                                   </label>
 665                                   <div class="col-sm-9">
 666                                         <textarea rows="4" name="custom_152" id="custom_152"
 667                                                           class="form-control"></textarea>
 668                                   </div>
 669                                 </div>
 670
 671                                 <div id="editrow-custom_153" class="form-group">
 672                                   <label class="col-sm-3 control-label" for="custom_153">
 673                                         Estimated travel and hotel expenses
 674                                   </label>
 675                                   <div class="col-sm-9">
 676                                         <textarea rows="4" name="custom_153" id="custom_153"
 677                                                           class="form-control"></textarea>
 678                                   </div>
 679                                 </div>
 680                           </div>
 681
 682                           <!-- end form-layout-compressed for last profile -->
 683
 684                           <div class="form-group">
 685                                 <div class="col-sm-12">
 686                                   <p>
 687                                         We will not publish or share
 688                                         your information with any party outside the FSF. See our
 689                                         <a href="https://my.fsf.org/donate/privacypolicy.html">
 690                                           privacy policy</a> for more information.
 691                                   </p>
 692                                 </div>
 693                           </div>
 694
 695                           <div class="form-group">
 696                                 <div class="col-sm-12">
 697                                   <input class="btn btn-default"
 698                                                  accesskey="S" name="_qf_Edit_next"
 699                                                  value="Save" type="submit"
 700                                                  id="_qf_Edit_next" />
 701                                 </div>
 702                           </div>
 703
 704                   </form>
 705
 706
 707                   </div> <!-- end of Scholarships LP14 main text -->
 708                 </div>
 709           </div> <!-- end of container -->
 710
 711         </div> <!-- end of wrapper -->
 712
 713         <div id="footer">
 714           <div class="container">
 715                 <p class="text-muted text-center">
 716                   The <a href="http://www.fsf.org/">Free Software
 717                   Foundation</a> is a nonprofit with a worldwide mission to
 718                   advance software freedom.
 719                   <a href="https://my.fsf.org/associate/support_freedom">
 720                         Donate</a>.
 721                 </p>
 722
 723                 <p class="text-muted text-center">
 724                   <a rel="license"
 725                          href="http://creativecommons.org/licenses/by-sa/3.0/us/">
 726                         <img alt="[ Creative Commons License ]" style="border-width:0"
 727                                  src="//i.creativecommons.org/l/by-sa/3.0/80x15.png" />
 728                   </a>
 729                   This page and its images, logos and videos are licensed under a <br />
 730                   <a rel="license"
 731                          href="http://creativecommons.org/licenses/by-sa/3.0/us/">
 732                         Creative Commons Attribution-ShareAlike 3.0 US
 733                   </a>.
 734                   Copyright &copy; 2013 Free Software Foundation.
 735                 </p>
 736
 737                 <p class="text-muted text-center">
 738                   <a href="http://weblabels.fsf.org/libreplanet.org/CURRENT/" rel="jslicense">
 739                         JavaScript license information
 740                   </a>
 741                 </p>
 742
 743                 <p class="text-muted text-center">
 744                   This site, including fonts, CSS, and JavaScript, was built using
 745                   <a href="http://getbootstrap.com">Bootstrap</a>,
 746                   which is licensed under the
 747                   <a href="https://directory.fsf.org/wiki/License:Apache2.0">
 748                         Apache 2.0 license</a>.
 749                 </p>
 750           </div>
 751         </div>
 752
 753         <script type="text/javascript"
 754                         src="/2014/assets/js/jquery-1.8.3.min.js">
 755         </script>
 756
 757         <script type="text/javascript"
 758                         src="/2014/assets/js/jquery.chainedSelects.js">
 759         </script>
 760
 761         <script type="text/javascript"
 762                         src="/2014/assets/js/jquery.form.js">
 763         </script>
 764
 765         <script type="text/javascript"
 766                         src="/2014/assets/js/Common.js">
 767         </script>
 768
 769         <script type="text/javascript">
 770           // @license magnet:?xt=urn:btih:8e4f440f4c65981c5bf93c76d35135ba5064d8b7&dn=apache-2.0.txt
 771
 772           var cj = jQuery.noConflict(); $ = cj;
 773
 774           cj(function() {
 775                   countryID = "#country-Primary"
 776                   stateProvinceID = "#state_province-Primary"
 777                   callbackURL = "https://crm.fsf.org/civicrm/ajax/jqState"
 778                   cj(countryID).chainSelect(stateProvinceID, callbackURL, null);
 779           });
 780           // @license-end
 781         </script>
 782   </body>
 783 </html>