<hr/>
- <div id="editrow-custom_107" class="form-group">
+ <div id="editrow-gender" class="form-group">
<label class="col-sm-3 control-label">
- Would you be willing to volunteer at the event?
- <span class="field-required">*</span>
+ Gender
</label>
- <div class="col-sm-5">
- <label class="radio-inline" for="CIVICRM_QFID_1_2">
- <input value="1"
- type="radio" id="CIVICRM_QFID_1_2" name="custom_107"
- />Yes</label>
-
- <label class="radio-inline" for="CIVICRM_QFID_0_4">
- <input value="0"
- type="radio" id="CIVICRM_QFID_0_4" name="custom_107"
- />No</label>
+ <div class="col-sm-9">
+ <label class="radio-inline"
+ for="CIVICRM_QFID_3_2">
+ <input value="3" type="radio" id="CIVICRM_QFID_3_2"
+ name="gender" />
+ Transgender</label>
+
+ <label class="radio-inline" for="CIVICRM_QFID_4_4">
+ <input value="4" type="radio" id="CIVICRM_QFID_4_4" name="gender"/>
+ Cisgender</label>
+
+ <label class="radio-inline" for="CIVICRM_QFID_5_6">
+ <input value="5" type="radio" id="CIVICRM_QFID_5_6" name="gender" />
+ Genderqueer / Non-Conforming / Variant</label>
+
+ <label class="radio-inline"
+ for="CIVICRM_QFID_1_8">
+ <input value="1" type="radio"
+ id="CIVICRM_QFID_1_8" name="gender"/>
+ Woman
+ </label>
+
+ <label class="radio-inline"
+ for="CIVICRM_QFID_2_10">
+ <input value="2" type="radio"
+ id="CIVICRM_QFID_2_10" name="gender"/>
+ Man</label>
+
+ <label class="radio-inline" for="CIVICRM_QFID_6_12">
+ <input value="6" type="radio" id="CIVICRM_QFID_6_12" name="gender" />
+ None of these are accurate for
+ me</label>
+
+ <span class="radio-clear-link">
+ (<a href="#"
+ title="unselect"
+ onclick="unselectRadio('gender', 'Edit'); return false;">clear</a>)
+ </span>
+
+ </div>
+ </div>
+
+
+
+ <div class="form-group" id="helprow-custom_150">
+ <div class="col-sm-offset-3 col-sm-9">
+ <p class="help-block scholarship-input-annotation">
+ <small>
+ Please describe your social identities. 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. This field allows you to
+ self-identify. Please also use the checkboxes
+ provided below.</small>
+ </p>
+ </div>
+ </div>
+
+ <div id="editrow-custom_150" class="form-group">
+ <label for="custom_150"
+ class="col-sm-3 control-label">
+ Self Identify
+ </label>
+ <div class="col-sm-9">
+ <textarea rows="4" name="custom_150" id="custom_150"
+ class="form-control"></textarea>
+ </div>
+ </div>
+
+
+
+ <div id="editrow-custom_147"
+ class="form-group">
+ <label class="col-sm-3 control-label">Age</label>
+
+ <div class="col-sm-9">
+
+ <label for="CIVICRM_QFID_20_or_under_14"
+ class="radio-inline">
+ 20 or under
+ <input value="20 or under" type="radio"
+ id="CIVICRM_QFID_20_or_under_14"
+ name="custom_147" /></label>
+
+ <label for="CIVICRM_QFID_21_30_16"
+ class="radio-inline">
+ 21-30
+ <input value="21-30" type="radio"
+ id="CIVICRM_QFID_21_30_16" name="custom_147" />
+ </label>
+
+ <label class="radio-inline"
+ for="CIVICRM_QFID_31_40_18">31-40
+ <input value="31-40"
+ type="radio" id="CIVICRM_QFID_31_40_18"
+ name="custom_147" />
+ </label>
+
+ <label class="radio-inline"
+ for="CIVICRM_QFID_41_50_20">
+ 41-50
+ <input value="41-50"
+ type="radio"
+ id="CIVICRM_QFID_41_50_20"
+ name="custom_147"/>
+ </label>
+
+ <label class="radio-inline"
+ for="CIVICRM_QFID_51_60_22">51-60
+ <input value="51-60"
+ type="radio" id="CIVICRM_QFID_51_60_22"
+ name="custom_147"/></label>
+
+ <label class="radio-inline"
+ for="CIVICRM_QFID_61_24">61+
+ <input value="61 +"
+ type="radio" id="CIVICRM_QFID_61_24"
+ name="custom_147"/></label>
+
+ <span class="radio-clear-link">
+ (<a href="#"
+ title="unselect"
+ onclick="unselectRadio('custom_147', 'Edit'); return false;">
+ clear</a>)</span>
</div>
</div>
<div class="form-group"
- id="helprow-custom_122">
+ id="helprow-custom_148">
<div class="col-sm-offset-3 col-sm-5">
<p class="help-block scholarship-input-annotation">
<small>Check all that apply</small>
</div>
</div>
- <div id="editrow-custom_122" class="form-group">
+ <div id="editrow-custom_148" class="form-group">
<label class="col-sm-3 control-label">
Race/Ethnicity
</label>
<div class="col-sm-9">
- <input type="hidden" name="custom_122[African]" value="" />
+ <input type="hidden" name="custom_148[African]" value="" />
<label class="checkbox-inline"
- for="custom_122_African">
- <input id="custom_122_African" name="custom_122[African]"
+ for="custom_148_African">
+ <input id="custom_148_African" name="custom_148[African]"
type="checkbox" value="1"/>
African
</label>
- <input type="hidden" name="custom_122[African American]" value="" />
- <label class="checkbox-inline" for="custom_122_African_American">
- <input id="custom_122_African_American"
- name="custom_122[African American]"
+ <input type="hidden" name="custom_148[African American]" value="" />
+ <label class="checkbox-inline" for="custom_148_African_American">
+ <input id="custom_148_African_American"
+ name="custom_148[African American]"
type="checkbox" value="1"/>
African American
</label>
- <input type="hidden" name="custom_122[Arab American]" value="" />
+ <input type="hidden" name="custom_148[Arab American]" value="" />
<label class="checkbox-inline"
- for="custom_122_Arab_American">
- <input id="custom_122_Arab_American" name="custom_122[Arab American]"
+ for="custom_148_Arab_American">
+ <input id="custom_148_Arab_American" name="custom_148[Arab American]"
type="checkbox" value="1"/>
Arab American
</label>
- <input type="hidden" name="custom_122[Asian]" value="" />
+ <input type="hidden" name="custom_148[Asian]" value="" />
<label class="checkbox-inline"
- for="custom_122_Asian">
- <input id="custom_122_Asian" name="custom_122[Asian]"
+ for="custom_148_Asian">
+ <input id="custom_148_Asian" name="custom_148[Asian]"
type="checkbox" value="1"/>
Asian
</label>
- <input type="hidden" name="custom_122[Asian American]" value="" />
- <label class="checkbox-inline" for="custom_122_Asian_American">
- <input id="custom_122_Asian_American" name="custom_122[Asian American]"
+ <input type="hidden" name="custom_148[Asian American]" value="" />
+ <label class="checkbox-inline" for="custom_148_Asian_American">
+ <input id="custom_148_Asian_American" name="custom_148[Asian American]"
type="checkbox" value="1"/>
Asian American</label>
- <input type="hidden" name="custom_122[Black]"
+ <input type="hidden" name="custom_148[Black]"
value="" />
<label class="checkbox-inline"
- for="custom_122_Black">
- <input id="custom_122_Black" name="custom_122[Black]"
+ for="custom_148_Black">
+ <input id="custom_148_Black" name="custom_148[Black]"
type="checkbox" value="1"/>
Black</label>
- <input type="hidden" name="custom_122[Caribbean]" value="" />
+ <input type="hidden" name="custom_148[Caribbean]" value="" />
<label class="checkbox-inline"
- for="custom_122_Caribbean">
- <input id="custom_122_Caribbean" name="custom_122[Caribbean]"
+ for="custom_148_Caribbean">
+ <input id="custom_148_Caribbean" name="custom_148[Caribbean]"
type="checkbox" value="1"/>Caribbean</label>
- <input type="hidden" name="custom_122[Caucasian]" value="" />
+ <input type="hidden" name="custom_148[Caucasian]" value="" />
<label class="checkbox-inline"
- for="custom_122_Caucasian">
- <input id="custom_122_Caucasian" name="custom_122[Caucasian]"
+ for="custom_148_Caucasian">
+ <input id="custom_148_Caucasian" name="custom_148[Caucasian]"
type="checkbox" value="1" />Caucasian</label>
- <input type="hidden" name="custom_122[Indigenous]" value="" />
+ <input type="hidden" name="custom_148[Indigenous]" value="" />
<label class="checkbox-inline"
- for="custom_122_Indigenous">
- <input id="custom_122_Indigenous" name="custom_122[Indigenous]" type="checkbox"
+ for="custom_148_Indigenous">
+ <input id="custom_148_Indigenous" name="custom_148[Indigenous]" type="checkbox"
value="1"/>Indigenous</label>
- <input type="hidden" name="custom_122[Latina/Latino]" value="" />
+ <input type="hidden" name="custom_148[Latina/Latino]" value="" />
<label class="checkbox-inline"
- for="custom_122_Latina/Latino">
- <input id="custom_122_Latina/Latino" name="custom_122[Latina/Latino]"
+ for="custom_148_Latina/Latino">
+ <input id="custom_148_Latina/Latino" name="custom_148[Latina/Latino]"
type="checkbox" value="1"/>Latina/Latino</label>
- <input type="hidden" name="custom_122[Middle Eastern]" value="" />
+ <input type="hidden" name="custom_148[Middle Eastern]" value="" />
<label class="checkbox-inline"
- for="custom_122_Middle_Eastern">
- <input id="custom_122_Middle_Eastern" name="custom_122[Middle Eastern]"
+ for="custom_148_Middle_Eastern">
+ <input id="custom_148_Middle_Eastern" name="custom_148[Middle Eastern]"
type="checkbox" value="1"/>Middle Eastern</label>
- <input type="hidden" name="custom_122[Pacific Islander]" value="" />
+ <input type="hidden" name="custom_148[Pacific Islander]" value="" />
<label class="checkbox-inline"
- for="custom_122_Pacific_Islander">
- <input id="custom_122_Pacific_Islander" name="custom_122[Pacific Islander]"
+ for="custom_148_Pacific_Islander">
+ <input id="custom_148_Pacific_Islander" name="custom_148[Pacific Islander]"
type="checkbox" value="1"/>Pacific Islander</label>
- <input type="hidden" name="custom_122[South Asian]" value="" />
+ <input type="hidden" name="custom_148[South Asian]" value="" />
<label class="checkbox-inline"
- for="custom_122_South_Asian">
- <input id="custom_122_South_Asian" name="custom_122[South Asian]"
+ for="custom_148_South_Asian">
+ <input id="custom_148_South_Asian" name="custom_148[South Asian]"
type="checkbox" value="1"/>South Asian</label>
- <input type="hidden" name="custom_122[White]" value="" />
+ <input type="hidden" name="custom_148[White]" value="" />
<label class="checkbox-inline"
- for="custom_122_White">
- <input id="custom_122_White" name="custom_122[White]"
+ for="custom_148_White">
+ <input id="custom_148_White" name="custom_148[White]"
type="checkbox" value="1"
/>White</label>
- <input type="hidden" name="custom_122[None of these are accurate for me]" value="" />
- <label class="checkbox-inline" for="custom_122_None_of_these_are_accurate_for_me">
- <input id="custom_122_None_of_these_are_accurate_for_me"
- name="custom_122[None of these are accurate for me]" type="checkbox" value="1"/>
+ <input type="hidden" name="custom_148[None of these are accurate for me]" value="" />
+ <label class="checkbox-inline" for="custom_148_None_of_these_are_accurate_for_me">
+ <input id="custom_148_None_of_these_are_accurate_for_me"
+ name="custom_148[None of these are accurate for me]" type="checkbox" value="1"/>
None of these are accurate for me</label>
</div>
</div>
- <div id="editrow-gender" class="form-group">
- <label class="col-sm-3 control-label">
- Gender
- </label>
-
- <div class="col-sm-9">
-
- <label class="radio-inline"
- for="CIVICRM_QFID_3_6">
- <input value="3" type="radio" id="CIVICRM_QFID_3_6"
- name="gender" />
- Transgender</label>
-
- <label class="radio-inline" for="CIVICRM_QFID_4_8">
- <input value="4" type="radio" id="CIVICRM_QFID_4_8" name="gender"/>
- Cisgender</label>
-
- <label class="radio-inline" for="CIVICRM_QFID_5_10">
- <input value="5" type="radio" id="CIVICRM_QFID_5_10" name="gender" />
- Genderqueer / Non-Conforming / Variant</label>
-
- <label class="radio-inline"
- for="CIVICRM_QFID_1_12">
- <input value="1" type="radio"
- id="CIVICRM_QFID_1_12" name="gender"/>
- Woman
- </label>
-
- <label class="radio-inline"
- for="CIVICRM_QFID_2_14">
- <input value="2" type="radio"
- id="CIVICRM_QFID_2_14" name="gender"/>
- Man</label>
-
- <label class="radio-inline" for="CIVICRM_QFID_6_16">
- <input value="6" type="radio" id="CIVICRM_QFID_6_16" name="gender" />
- None of these are accurate for
- me</label>
-
- <span class="radio-clear-link">
- (<a href="#"
- title="unselect"
- onclick="unselectRadio('gender', 'Edit'); return false;">clear</a>)
- </span>
-
- </div>
- </div>
-
- <div class="form-group" id="helprow-custom_104">
- <div class="col-sm-offset-3 col-sm-5">
+ <div class="form-group" id="helprow-custom_154">
+ <div class="col-sm-offset-3 col-sm-9">
<p class="help-block scholarship-input-annotation">
- <small>Please limit each of your answers to 150 words.</small>
+ <small>Please describe your social identities. 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. This field allows you to self-identify. Please also use the
+ checkboxes provided below.</small>
</p>
</div>
</div>
- <div id="editrow-custom_104" class="form-group">
- <label class="col-sm-3 control-label" for="custom_104">
- GNU Project affiliation, if any
+ <div id="editrow-custom_154" class="form-group">
+ <label class="col-sm-3 control-label" for="custom_154">
+ Do you require any special accommodations of any kind?
</label>
<div class="col-sm-9">
- <textarea rows="4" name="custom_104" id="custom_104"
+ <textarea rows="4" name="custom_154" id="custom_154"
class="form-control"></textarea>
</div>
</div>
- <div id="editrow-custom_105" class="form-group">
- <label class="col-sm-3 control-label" for="custom_105">
+ <div id="editrow-custom_151" class="form-group">
+ <label class="col-sm-3 control-label" for="custom_151">
Why do you want to attend LibrePlanet 2014?</label>
<div class="col-sm-9">
<textarea
- rows="4" name="custom_105" id="custom_105"
+ rows="4" name="custom_151" id="custom_151"
class="form-control"></textarea>
</div>
</div>
- <div id="editrow-custom_106" class="form-group">
- <label class="col-sm-3 control-label" for="custom_106">
+ <div id="editrow-custom_152" class="form-group">
+ <label class="col-sm-3 control-label" for="custom_152">
How do you plan to bring your
experience back to your community?
</label>
<div class="col-sm-9">
- <textarea rows="4" name="custom_106" id="custom_106"
+ <textarea rows="4" name="custom_152" id="custom_152"
class="form-control"></textarea>
</div>
</div>
- <div id="editrow-custom_103" class="form-group">
- <label class="col-sm-3" for="custom_103">
+ <div id="editrow-custom_153" class="form-group">
+ <label class="col-sm-3" for="custom_153">
Estimated travel and hotel expenses
</label>
<div class="col-sm-9">
- <textarea rows="4" name="custom_103" id="custom_103"
+ <textarea rows="4" name="custom_153" id="custom_153"
class="form-control"></textarea>
</div>
</div>