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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  84                   <!--<li class="active"><a href="/2014/scholarships">Scholarships (until January 10th)</a></li>-->
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 100                         </ul>
 101                         <p class="text-muted text-center">and attend the conference gratis!</p>
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 103
 104                   <div class="col-sm-9"> <!-- start of Scholarships LP14 main text -->
 105                         <h2> Scholarship <small>application</small> </h2>
 106
 107                         <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>
 108
 109                         <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>
 110
 111                         <form action="https://crm.fsf.org/civicrm/profile/create?gid=250&amp;reset=1"
 112                                   class="form-horizontal margin-top" method="post" name="Edit" id="Edit" role="form">
 113
 114                           <div>
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 119                                 <input name="add_to_group" type="hidden" value="572" />
 120                                 <input name="_qf_default" type="hidden" value="Edit:cancel" />
 121                           </div>
 122
 123                           <div id="crm-container" class="crm-container crm-public" lang="en"
 124                                    xml:lang="en">
 125
 126
 127                                 <div id="editrow-first_name"
 128                                          class="form-group">
 129                                   <label class="col-sm-3 control-label" for="first_name">
 130                                         First Name
 131                                         <span class="field-required">*</span>
 132                                   </label>
 133                                   <div class="col-sm-5">
 134                                         <input class="form-control"
 135                                                    name="first_name"
 136                                                    type="text" id="first_name" required>
 137                                   </div>
 138                                 </div>
 139
 140                                 <div id="editrow-last_name" class="form-group">
 141                                   <label class="col-sm-3 control-label"
 142                                                  for="last_name">
 143                                         Last Name
 144                                         <span class="field-required">*</span>
 145                                   </label>
 146                                   <div class="col-sm-5">
 147                                         <input
 148                                            name="last_name"
 149                                            type="text"
 150                                            id="last_name"
 151                                            class="form-control" required>
 152                                   </div>
 153                                 </div>
 154
 155                                 <div id="editrow-email-Primary" class="form-group">
 156                                   <label for="email-Primary" class="col-sm-3 control-label">
 157                                         Email
 158                                         <span class="field-required">*</span>
 159                                   </label>
 160
 161                                   <div class="col-sm-5">
 162                                         <input name="email-Primary"
 163                                                    class="form-control"
 164                                                    type="email" id="email-Primary"
 165                                                    placeholder="Your email address" required>
 166                                   </div>
 167                                 </div>
 168
 169                                 <div class="form-group"
 170                                          id="helprow-street_address-Primary">
 171                                   <div class="col-sm-offset-3 col-sm-5">
 172                                         <p class="help-block scholarship-input-annotation">
 173                                           <small>Please tell us where you're coming from.</small>
 174                                         </p>
 175                                   </div>
 176                                 </div>
 177
 178                                 <div id="editrow-street_address-Primary" class="form-group">
 179                                   <label class="col-sm-3 control-label"
 180                                                  for="street_address-Primary">
 181                                         Street Address
 182                                   </label>
 183                                   <div class="col-sm-7">
 184                                         <input name="street_address-Primary" type="text"
 185                                                    id="street_address-Primary" class="form-control">
 186                                   </div>
 187                                 </div>
 188
 189                                 <div id="editrow-city-Primary"
 190                                          class="form-group">
 191                                   <label class="col-sm-3 control-label" for="city-Primary">
 192                                         City
 193                                   </label>
 194                                   <div
 195                                          class="col-sm-5">
 196                                         <input name="city-Primary" type="text" id="city-Primary" class="form-control"
 197                                                    />
 198                                   </div>
 199                                 </div>
 200
 201                                 <div id="editrow-postal_code-Primary" class="form-group">
 202                                   <label class="col-sm-3 control-label"
 203                                                  for="postal_code-Primary">
 204                                         Postal Code
 205                                   </label>
 206                                   <div class="col-sm-5">
 207                                         <input
 208                                            name="postal_code-Primary" type="text" id="postal_code-Primary"
 209                                            class="form-control" />
 210                                   </div>
 211                                 </div>
 212
 213                                 <div id="editrow-country-Primary" class="form-group">
 214                                   <label class="col-sm-3 control-label" for="country-Primary">
 215                                         Country
 216                                         <span class="field-required">*</span>
 217                                   </label>
 218                                   <div class="col-sm-5">
 219                                         <select
 220                                            name="country-Primary" id="country-Primary" class="form-control"
 221                                            required>
 222                                           <option value="">- select -</option>
 223                                           <option value="1228" selected="selected">United States</option>
 224                                           <option value="1001">Afghanistan</option>
 225                                           <option value="1241">Åland Islands</option>
 226                                           <option value="1002">Albania</option>
 227                                           <option value="1003">Algeria</option>
 228                                           <option value="1004">American Samoa</option>
 229                                           <option value="1005">Andorra</option>
 230                                           <option value="1006">Angola</option>
 231                                           <option value="1007">Anguilla</option>
 232                                           <option value="1008">Antarctica</option>
 233                                           <option value="1009">Antigua and Barbuda</option>
 234                                           <option value="1010">Argentina</option>
 235                                           <option value="1011">Armenia</option>
 236                                           <option value="1012">Aruba</option>
 237                                           <option value="1013">Australia</option>
 238                                           <option value="1014">Austria</option>
 239                                           <option value="1015">Azerbaijan</option>
 240                                           <option value="1212">Bahamas</option>
 241                                           <option value="1016">Bahrain</option>
 242                                           <option value="1017">Bangladesh</option>
 243                                           <option value="1018">Barbados</option>
 244                                           <option value="1019">Belarus</option>
 245                                           <option value="1020">Belgium</option>
 246                                           <option value="1021">Belize</option>
 247                                           <option value="1022">Benin</option>
 248                                           <option value="1023">Bermuda</option>
 249                                           <option value="1024">Bhutan</option>
 250                                           <option value="1025">Bolivia</option>
 251                                           <option value="1250">Bonaire, Saint Eustatius and Saba</option>
 252                                           <option value="1026">Bosnia and Herzegovina</option>
 253                                           <option value="1027">Botswana</option>
 254                                           <option value="1028">Bouvet Island</option>
 255                                           <option value="1029">Brazil</option>
 256                                           <option value="1030">British Indian Ocean Territory</option>
 257                                           <option value="1032">Brunei Darussalam</option>
 258                                           <option value="1033">Bulgaria</option>
 259                                           <option value="1034">Burkina Faso</option>
 260                                           <option value="1036">Burundi</option>
 261                                           <option value="1037">Cambodia</option>
 262                                           <option value="1038">Cameroon</option>
 263                                           <option value="1039">Canada</option>
 264                                           <option value="1040">Cape Verde</option>
 265                                           <option value="1041">Cayman Islands</option>
 266                                           <option value="1042">Central African Republic</option>
 267                                           <option value="1043">Chad</option>
 268                                           <option value="1044">Chile</option>
 269                                           <option value="1045">China</option>
 270                                           <option value="1046">Christmas Island</option>
 271                                           <option value="1047">Cocos (Keeling) Islands</option>
 272                                           <option value="1048">Colombia</option>
 273                                           <option value="1049">Comoros</option>
 274                                           <option value="1051">Congo, Republic of the</option>
 275                                           <option value="1050">Congo, The Democratic Republic of the</option>
 276                                           <option value="1052">Cook Islands</option>
 277                                           <option value="1053">Costa Rica</option>
 278                                           <option value="1054">Côte d'Ivoire</option>
 279                                           <option value="1055">Croatia</option>
 280                                           <option value="1056">Cuba</option>
 281                                           <option value="1248">CuraÃ§ao</option>
 282                                           <option value="1057">Cyprus</option>
 283                                           <option value="1058">Czech Republic</option>
 284                                           <option value="1059">Denmark</option>
 285                                           <option value="1060">Djibouti</option>
 286                                           <option value="1061">Dominica</option>
 287                                           <option value="1062">Dominican Republic</option>
 288                                           <option value="1064">Ecuador</option>
 289                                           <option value="1065">Egypt</option>
 290                                           <option value="1066">El Salvador</option>
 291                                           <option value="1067">Equatorial Guinea</option>
 292                                           <option value="1068">Eritrea</option>
 293                                           <option value="1069">Estonia</option>
 294                                           <option value="1070">Ethiopia</option>
 295                                           <option value="1072">Falkland Islands (Malvinas)</option>
 296                                           <option value="1073">Faroe Islands</option>
 297                                           <option value="1074">Fiji</option>
 298                                           <option value="1075">Finland</option>
 299                                           <option value="1076">France</option>
 300                                           <option value="1077">French Guiana</option>
 301                                           <option value="1078">French Polynesia</option>
 302                                           <option value="1079">French Southern Territories</option>
 303                                           <option value="1080">Gabon</option>
 304                                           <option value="1213">Gambia</option>
 305                                           <option value="1081">Georgia</option>
 306                                           <option value="1082">Germany</option>
 307                                           <option value="1083">Ghana</option>
 308                                           <option value="1084">Gibraltar</option>
 309                                           <option value="1085">Greece</option>
 310                                           <option value="1086">Greenland</option>
 311                                           <option value="1087">Grenada</option>
 312                                           <option value="1088">Guadeloupe</option>
 313                                           <option value="1089">Guam</option>
 314                                           <option value="1090">Guatemala</option>
 315                                           <option value="1245">Guernsey</option>
 316                                           <option value="1091">Guinea</option>
 317                                           <option value="1092">Guinea-Bissau</option>
 318                                           <option value="1093">Guyana</option>
 319                                           <option value="1094">Haiti</option>
 320                                           <option value="1095">Heard Island and McDonald Islands</option>
 321                                           <option value="1096">Holy See (Vatican City State)</option>
 322                                           <option value="1097">Honduras</option>
 323                                           <option value="1098">Hong Kong</option>
 324                                           <option value="1099">Hungary</option>
 325                                           <option value="1100">Iceland</option>
 326                                           <option value="1101">India</option>
 327                                           <option value="1102">Indonesia</option>
 328                                           <option value="1103">Iran, Islamic Republic of</option>
 329                                           <option value="1104">Iraq</option>
 330                                           <option value="1105">Ireland</option>
 331                                           <option value="1246">Isle of Man</option>
 332                                           <option value="1106">Israel</option>
 333                                           <option value="1107">Italy</option>
 334                                           <option value="1108">Jamaica</option>
 335                                           <option value="1109">Japan</option>
 336                                           <option value="1244">Jersey</option>
 337                                           <option value="1110">Jordan</option>
 338                                           <option value="1111">Kazakhstan</option>
 339                                           <option value="1112">Kenya</option>
 340                                           <option value="1113">Kiribati</option>
 341                                           <option value="1114">Korea, Democratic People's Republic of</option>
 342                                           <option value="1115">Korea, Republic of</option>
 343                                           <option value="1251">Kosovo</option>
 344                                           <option value="1116">Kuwait</option>
 345                                           <option value="1117">Kyrgyzstan</option>
 346                                           <option value="1118">Lao People's Democratic Republic</option>
 347                                           <option value="1119">Latvia</option>
 348                                           <option value="1120">Lebanon</option>
 349                                           <option value="1121">Lesotho</option>
 350                                           <option value="1122">Liberia</option>
 351                                           <option value="1123">Libya</option>
 352                                           <option value="1124">Liechtenstein</option>
 353                                           <option value="1125">Lithuania</option>
 354                                           <option value="1126">Luxembourg</option>
 355                                           <option value="1127">Macao</option>
 356                                           <option value="1128">Macedonia, Republic of</option>
 357                                           <option value="1129">Madagascar</option>
 358                                           <option value="1130">Malawi</option>
 359                                           <option value="1131">Malaysia</option>
 360                                           <option value="1132">Maldives</option>
 361                                           <option value="1133">Mali</option>
 362                                           <option value="1134">Malta</option>
 363                                           <option value="1135">Marshall Islands</option>
 364                                           <option value="1136">Martinique</option>
 365                                           <option value="1137">Mauritania</option>
 366                                           <option value="1138">Mauritius</option>
 367                                           <option value="1139">Mayotte</option>
 368                                           <option value="1140">Mexico</option>
 369                                           <option value="1141">Micronesia, Federated States of</option>
 370                                           <option value="1142">Moldova</option>
 371                                           <option value="1143">Monaco</option>
 372                                           <option value="1144">Mongolia</option>
 373                                           <option value="1243">Montenegro</option>
 374                                           <option value="1145">Montserrat</option>
 375                                           <option value="1146">Morocco</option>
 376                                           <option value="1147">Mozambique</option>
 377                                           <option value="1035">Myanmar</option>
 378                                           <option value="1148">Namibia</option>
 379                                           <option value="1149">Nauru</option>
 380                                           <option value="1150">Nepal</option>
 381                                           <option value="1152">Netherlands</option>
 382                                           <option value="1153">New Caledonia</option>
 383                                           <option value="1154">New Zealand</option>
 384                                           <option value="1155">Nicaragua</option>
 385                                           <option value="1156">Niger</option>
 386                                           <option value="1157">Nigeria</option>
 387                                           <option value="1158">Niue</option>
 388                                           <option value="1159">Norfolk Island</option>
 389                                           <option value="1160">Northern Mariana Islands</option>
 390                                           <option value="1161">Norway</option>
 391                                           <option value="1162">Oman</option>
 392                                           <option value="1163">Pakistan</option>
 393                                           <option value="1164">Palau</option>
 394                                           <option value="1165">Palestinian Territory, Occupied</option>
 395                                           <option value="1166">Panama</option>
 396                                           <option value="1167">Papua New Guinea</option>
 397                                           <option value="1168">Paraguay</option>
 398                                           <option value="1169">Peru</option>
 399                                           <option value="1170">Philippines</option>
 400                                           <option value="1171">Pitcairn</option>
 401                                           <option value="1172">Poland</option>
 402                                           <option value="1173">Portugal</option>
 403                                           <option value="1174">Puerto Rico</option>
 404                                           <option value="1175">Qatar</option>
 405                                           <option value="1179">Reunion</option>
 406                                           <option value="1176">Romania</option>
 407                                           <option value="1177">Russian Federation</option>
 408                                           <option value="1178">Rwanda</option>
 409                                           <option value="1180">Saint Helena</option>
 410                                           <option value="1181">Saint Kitts and Nevis</option>
 411                                           <option value="1182">Saint Lucia</option>
 412                                           <option value="1183">Saint Pierre and Miquelon</option>
 413                                           <option value="1184">Saint Vincent and the Grenadines</option>
 414                                           <option value="1185">Samoa</option>
 415                                           <option value="1186">San Marino</option>
 416                                           <option value="1207">Sao Tome and Principe</option>
 417                                           <option value="1187">Saudi Arabia</option>
 418                                           <option value="1188">Senegal</option>
 419                                           <option value="1242">Serbia</option>
 420                                           <option value="1238">Serbia and Montenegro</option>
 421                                           <option value="1189">Seychelles</option>
 422                                           <option value="1190">Sierra Leone</option>
 423                                           <option value="1191">Singapore</option>
 424                                           <option value="1249">Sint Maarten (Dutch Part)</option>
 425                                           <option value="1192">Slovakia</option>
 426                                           <option value="1193">Slovenia</option>
 427                                           <option value="1194">Solomon Islands</option>
 428                                           <option value="1195">Somalia</option>
 429                                           <option value="1196">South Africa</option>
 430                                           <option value="1197">South Georgia and the South Sandwich Islands</option>
 431                                           <option value="1247">South Sudan</option>
 432                                           <option value="1198">Spain</option>
 433                                           <option value="1199">Sri Lanka</option>
 434                                           <option value="1200">Sudan</option>
 435                                           <option value="1201">Suriname</option>
 436                                           <option value="1202">Svalbard and Jan Mayen</option>
 437                                           <option value="1203">Swaziland</option>
 438                                           <option value="1204">Sweden</option>
 439                                           <option value="1205">Switzerland</option>
 440                                           <option value="1206">Syrian Arab Republic</option>
 441                                           <option value="1208">Taiwan</option>
 442                                           <option value="1209">Tajikistan</option>
 443                                           <option value="1210">Tanzania, United Republic of</option>
 444                                           <option value="1211">Thailand</option>
 445                                           <option value="1063">Timor-Leste</option>
 446                                           <option value="1214">Togo</option>
 447                                           <option value="1215">Tokelau</option>
 448                                           <option value="1216">Tonga</option>
 449                                           <option value="1217">Trinidad and Tobago</option>
 450                                           <option value="1218">Tunisia</option>
 451                                           <option value="1219">Turkey</option>
 452                                           <option value="1220">Turkmenistan</option>
 453                                           <option value="1221">Turks and Caicos Islands</option>
 454                                           <option value="1222">Tuvalu</option>
 455                                           <option value="1223">Uganda</option>
 456                                           <option value="1224">Ukraine</option>
 457                                           <option value="1225">United Arab Emirates</option>
 458                                           <option value="1226">United Kingdom</option>
 459                                           <option value="1227">United States Minor Outlying Islands</option>
 460                                           <option value="1229">Uruguay</option>
 461                                           <option value="1230">Uzbekistan</option>
 462                                           <option value="1231">Vanuatu</option>
 463                                           <option value="1232">Venezuela</option>
 464                                           <option value="1233">Viet Nam</option>
 465                                           <option value="1031">Virgin Islands, British</option>
 466                                           <option value="1234">Virgin Islands, U.S.</option>
 467                                           <option value="1235">Wallis and Futuna</option>
 468                                           <option value="1236">Western Sahara</option>
 469                                           <option value="1237">Yemen</option>
 470                                           <option value="1239">Zambia</option>
 471                                           <option value="1240">Zimbabwe</option>
 472                                         </select>
 473                                   </div>
 474                                 </div>
 475
 476                                 <div id="editrow-state_province-Primary" class="form-group">
 477                                   <label class="col-sm-3 control-label" for="state_province-Primary">
 478                                         State or Province
 479                                   </label>
 480                                   <div class="col-sm-5">
 481                                         <select name="state_province-Primary" id="state_province-Primary"
 482                                                         class="form-control">
 483                                           <option value="">- select -</option>
 484                                           <option value="1000">Alabama</option>
 485                                           <option value="1001">Alaska</option>
 486                                           <option value="1052">American Samoa</option>
 487                                           <option value="1002">Arizona</option>
 488                                           <option value="1003">Arkansas</option>
 489                                           <option value="1060">Armed Forces Americas</option>
 490                                           <option value="1059">Armed Forces Europe</option>
 491                                           <option value="1061">Armed Forces Pacific</option>
 492                                           <option value="1004">California</option>
 493                                           <option value="1005">Colorado</option>
 494                                           <option value="1006">Connecticut</option>
 495                                           <option value="1007">Delaware</option>
 496                                           <option value="1050">District of Columbia</option>
 497                                           <option value="1008">Florida</option>
 498                                           <option value="1009">Georgia</option>
 499                                           <option value="1053">Guam</option>
 500                                           <option value="1010">Hawaii</option>
 501                                           <option value="1011">Idaho</option>
 502                                           <option value="1012">Illinois</option>
 503                                           <option value="1013">Indiana</option>
 504                                           <option value="1014">Iowa</option>
 505                                           <option value="1015">Kansas</option>
 506                                           <option value="1016">Kentucky</option>
 507                                           <option value="1017">Louisiana</option>
 508                                           <option value="1018">Maine</option>
 509                                           <option value="1019">Maryland</option>
 510                                           <option value="1020">Massachusetts</option>
 511                                           <option value="1021">Michigan</option>
 512                                           <option value="1022">Minnesota</option>
 513                                           <option value="1023">Mississippi</option>
 514                                           <option value="1024">Missouri</option>
 515                                           <option value="1025">Montana</option>
 516                                           <option value="1026">Nebraska</option>
 517                                           <option value="1027">Nevada</option>
 518                                           <option value="1028">New Hampshire</option>
 519                                           <option value="1029">New Jersey</option>
 520                                           <option value="1030">New Mexico</option>
 521                                           <option value="1031">New York</option>
 522                                           <option value="1032">North Carolina</option>
 523                                           <option value="1033">North Dakota</option>
 524                                           <option value="1055">Northern Mariana Islands</option>
 525                                           <option value="1034">Ohio</option>
 526                                           <option value="1035">Oklahoma</option>
 527                                           <option value="1036">Oregon</option>
 528                                           <option value="1037">Pennsylvania</option>
 529                                           <option value="1056">Puerto Rico</option>
 530                                           <option value="1038">Rhode Island</option>
 531                                           <option value="1039">South Carolina</option>
 532                                           <option value="1040">South Dakota</option>
 533                                           <option value="1041">Tennessee</option>
 534                                           <option value="1042">Texas</option>
 535                                           <option value="1058">United States Minor Outlying Islands</option>
 536                                           <option value="1043">Utah</option>
 537                                           <option value="1044">Vermont</option>
 538                                           <option value="1057">Virgin Islands</option>
 539                                           <option value="1045">Virginia</option>
 540                                           <option value="1046">Washington</option>
 541                                           <option value="1047">West Virginia</option>
 542                                           <option value="1048">Wisconsin</option>
 543                                           <option value="1049">Wyoming</option>
 544                                         </select>
 545                                   </div>
 546                                 </div>
 547
 548                                 <hr/>
 549
 550                                 <div id="editrow-custom_147"
 551                                          class="form-group">
 552                                   <label class="col-sm-3 control-label">Age</label>
 553
 554                                   <div class="col-sm-9">
 555
 556                                         <label for="CIVICRM_QFID_20_or_under_2"
 557                                                    class="radio-inline">
 558                                           20 or under
 559                                           <input value="20 or under" type="radio"
 560                                                          id="CIVICRM_QFID_20_or_under_2"
 561                                                          name="custom_147" /></label>&nbsp;
 562
 563                                         <label for="CIVICRM_QFID_21_30_4"
 564                                                    class="radio-inline">
 565                                           21-30
 566                                           <input value="21-30" type="radio"
 567                                                          id="CIVICRM_QFID_21_30_4" name="custom_147" />
 568                                         </label>&nbsp;
 569
 570                                         <label class="radio-inline"
 571                                                    for="CIVICRM_QFID_31_40_6">31-40
 572                                           <input value="31-40"
 573                                                          type="radio" id="CIVICRM_QFID_31_40_6"
 574                                                          name="custom_147" />
 575                                         </label>&nbsp;
 576
 577                                         <label class="radio-inline"
 578                                            for="CIVICRM_QFID_41_50_8">
 579                                           41-50
 580                                           <input value="41-50"
 581                                                          type="radio"
 582                                                          id="CIVICRM_QFID_41_50_8"
 583                                                          name="custom_147"/>
 584                                         </label>&nbsp;
 585
 586                                         <label class="radio-inline"
 587                                                    for="CIVICRM_QFID_51_60_10">51-60
 588                                           <input value="51-60"
 589                                                          type="radio" id="CIVICRM_QFID_51_60_10"
 590                                                          name="custom_147"/></label>&nbsp;
 591
 592                                         <label class="radio-inline"
 593                                                    for="CIVICRM_QFID_61_12">61+
 594                                           <input value="61 +"
 595                                                          type="radio" id="CIVICRM_QFID_61_12"
 596                                                          name="custom_147"/></label>&nbsp;
 597
 598                                         <span class="radio-clear-link">
 599                                           (<a href="#"
 600                                                   title="unselect"
 601                                                   onclick="unselectRadio('custom_147', 'Edit'); return false;">
 602                                                 clear</a>)</span>
 603                                   </div>
 604                                 </div>
 605
 606
 607                                 <div id="editrow-custom_155" class="form-group">
 608                                   <label class="col-sm-3 control-label"
 609                                                  for="custom_155">
 610                                         Gender
 611                                   </label>
 612                                   <div class="col-sm-5">
 613                                         <input name="custom_155" type="text" id="custom_155"
 614                                                    class="form-control" />
 615                                   </div>
 616                                 </div>
 617
 618
 619                                 <div id="editrow-custom_156" class="form-group">
 620                                   <label class="col-sm-3 control-label"
 621                                                  for="custom_156">
 622                                         Race/Ethnicity</label>
 623                                   <div class="col-sm-5">
 624                                         <input name="custom_156" type="text" id="custom_156"
 625                                                    class="form-control" />
 626                                   </div>
 627                                 </div>
 628
 629                                 <div id="editrow-custom_150" class="form-group">
 630                                   <label for="custom_150"
 631                                                  class="col-sm-3 control-label">
 632                                         Additional Information
 633                                   </label>
 634                                   <div class="col-sm-9">
 635                                         <textarea rows="4" name="custom_150" id="custom_150"
 636                                                           class="form-control"></textarea>
 637                                         <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>
 638                                   </div>
 639                                 </div>
 640
 641                                 <div id="editrow-custom_154" class="form-group">
 642                                   <label class="col-sm-3 control-label" for="custom_154">
 643                                         Are there any special accommodations that would make it easier for you to attend LibrePlanet?
 644                                   </label>
 645                                   <div class="col-sm-9">
 646                                         <textarea rows="4" name="custom_154" id="custom_154"
 647                                                           class="form-control"></textarea>
 648                                         <p class="help-block"><small>Examples: ASL interpretation, wheelchair accessibility, etc.</small></p>
 649                                   </div>
 650                                 </div>
 651
 652                                 <div id="editrow-custom_151" class="form-group">
 653                                   <label class="col-sm-3 control-label" for="custom_151">
 654                                         Why do you want to attend LibrePlanet 2014?</label>
 655                                   <div class="col-sm-9">
 656                                         <textarea
 657                                            rows="4" name="custom_151" id="custom_151"
 658                                            class="form-control"></textarea>
 659                                   </div>
 660                                 </div>
 661
 662                                 <div id="editrow-custom_152" class="form-group">
 663                                   <label class="col-sm-3 control-label" for="custom_152">
 664                                         How do you plan to bring your
 665                                         experience back to your community?
 666                                   </label>
 667                                   <div class="col-sm-9">
 668                                         <textarea rows="4" name="custom_152" id="custom_152"
 669                                                           class="form-control"></textarea>
 670                                   </div>
 671                                 </div>
 672
 673                                 <div id="editrow-custom_153" class="form-group">
 674                                   <label class="col-sm-3 control-label" for="custom_153">
 675                                         Estimated travel and hotel expenses
 676                                   </label>
 677                                   <div class="col-sm-9">
 678                                         <textarea rows="4" name="custom_153" id="custom_153"
 679                                                           class="form-control"></textarea>
 680                                   </div>
 681                                 </div>
 682                           </div>
 683
 684                           <!-- end form-layout-compressed for last profile -->
 685
 686                           <div class="form-group">
 687                                 <div class="col-sm-12">
 688                                   <p>
 689                                         We will not publish or share
 690                                         your information with any party outside the FSF. See our
 691                                         <a href="https://my.fsf.org/donate/privacypolicy.html">
 692                                           privacy policy</a> for more information.
 693                                   </p>
 694                                 </div>
 695                           </div>
 696
 697                           <div class="form-group">
 698                                 <div class="col-sm-12">
 699                                   <input class="btn btn-default"
 700                                                  accesskey="S" name="_qf_Edit_next"
 701                                                  value="Save" type="submit"
 702                                                  id="_qf_Edit_next" />
 703                                 </div>
 704                           </div>
 705
 706                   </form>
 707
 708
 709                   </div> <!-- end of Scholarships LP14 main text -->
 710                 </div>
 711           </div> <!-- end of container -->
 712
 713         </div> <!-- end of wrapper -->
 714
 715         <div id="footer">
 716           <div class="container">
 717                 <p class="text-muted text-center">
 718                   The <a href="http://www.fsf.org/">Free Software
 719                   Foundation</a> is a nonprofit with a worldwide mission to
 720                   advance software freedom. LibrePlanet 2014 is produced in partnership by the <a href="https://www.fsf.org">Free Software Foundation</a> with the <a href="http://sipb.mit.edu/">Student Information Processing Board (SIPB)</a> at MIT.
 721                   <a href="https://my.fsf.org/associate/support_freedom">
 722                         Donate</a>.
 723                 </p>
 724
 725                 <p class="text-muted text-center">
 726                   <a rel="license"
 727                          href="http://creativecommons.org/licenses/by-sa/3.0/us/">
 728                         <img alt="[ Creative Commons License ]" style="border-width:0"
 729                                  src="//i.creativecommons.org/l/by-sa/3.0/80x15.png" />
 730                   </a>
 731                   This page and its images, logos and videos are licensed under a <br />
 732                   <a rel="license"
 733                          href="http://creativecommons.org/licenses/by-sa/3.0/us/">
 734                         Creative Commons Attribution-ShareAlike 3.0 US
 735                   </a>.
 736                   Copyright &copy; 2013 Free Software Foundation.
 737                 </p>
 738
 739                 <p class="text-muted text-center">
 740                   <a href="http://weblabels.fsf.org/libreplanet.org/CURRENT/" rel="jslicense">
 741                         JavaScript license information
 742                   </a>
 743                 </p>
 744
 745                 <p class="text-muted text-center">
 746                   This site, including fonts, CSS, and JavaScript, was built using
 747                   <a href="http://getbootstrap.com">Bootstrap</a>,
 748                   which is licensed under the
 749                   <a href="https://directory.fsf.org/wiki/License:Apache2.0">
 750                         Apache 2.0 license</a>.
 751                 </p>
 752           </div>
 753         </div>
 754
 755         <script type="text/javascript"
 756                         src="/2014/assets/js/jquery-1.8.3.min.js">
 757         </script>
 758
 759         <script type="text/javascript"
 760                         src="/2014/assets/js/jquery.chainedSelects.js">
 761         </script>
 762
 763         <script type="text/javascript"
 764                         src="/2014/assets/js/jquery.form.js">
 765         </script>
 766
 767         <script type="text/javascript"
 768                         src="/2014/assets/js/Common.js">
 769         </script>
 770
 771         <script type="text/javascript">
 772           // @license magnet:?xt=urn:btih:8e4f440f4c65981c5bf93c76d35135ba5064d8b7&dn=apache-2.0.txt
 773
 774           var cj = jQuery.noConflict(); $ = cj;
 775
 776           cj(function() {
 777                   countryID = "#country-Primary"
 778                   stateProvinceID = "#state_province-Primary"
 779                   callbackURL = "https://crm.fsf.org/civicrm/ajax/jqState"
 780                   cj(countryID).chainSelect(stateProvinceID, callbackURL, null);
 781           });
 782           // @license-end
 783         </script>
 784   </body>
 785 </html>