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| |
| <h1 id="main-page-title">Submit a Proposal for Google Summer of Code</h1> |
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| <p><strong>You are logged in as <em>socstudent@gmail.com</em>.</strong> <a href="javascript:void(0)">(Not you?)</a></p> |
| <p>Before you can apply to Google Summer of Code, you must register as a student.</p> |
| </div> |
| |
| <h2 id="form-register-title">Register as a Student</h2> <p id="form-register-req" class="req">* fields required</p> |
| |
| <fieldset id="form-register-fieldset-basicinfo" class="fieldset-basicinfo"> |
| <legend><span>Personal Information</span></legend> |
| <div id="form-row-fname" class="row fname"> |
| <label>First Name<span class="req">*</span></label> |
| <input type="text" name="fname" value="" class="text" /> |
| </div> |
| <div id="form-row-lname" class="row lname"> |
| <label>Last Name<span class="req">*</span></label> |
| <input type="text" name="lname" value="" class="text" /> |
| </div> |
| <div id="form-row-email" class="row email error"> |
| <label>Email Address<span class="req">*</span></label> |
| <input type="text" name="email" value="" class="text" /> |
| <div class="error-message">*Enter a valid email address</div> |
| </div> |
| <div id="form-row-phone" class="row phone"> |
| <label>Phone Number<span class="req">*</span></label> |
| <input type="text" name="phone" value="" class="text" /> |
| </div> |
| <div id="form-row-bday" class="row bday"> |
| <label>Birth Date<span class="req">*</span></label> |
| <input type="text" name="bday" value="" class="text" /> |
| <span class="note">DD/MM/YYY</span> |
| </div> |
| </fieldset> |
| |
| <fieldset id="form-register-fieldset-address" class="fieldset-address"> |
| <legend><span>Address Information</span></legend> |
| <div id="form-row-address1" class="row address1"> |
| <label>Street Address 1<span class="req">*</span></label> |
| <input type="text" name="address1" value="" class="text" /> |
| </div> |
| <div id="form-row-address2" class="row address2"> |
| <label>Street Address 2</label> |
| <input type="text" name="address2" value="" class="text" /> |
| </div> |
| <div id="form-row-city" class="row city"> |
| <label>City</label> |
| <input type="city" name="email" value="" class="text" /> |
| </div> |
| <div id="form-row-stateprovince" class="row stateprovince error"> |
| <label>State/Province<span class="req">*</span></label> |
| <input type="text" name="stateprovince" value="" class="text" /> |
| <div class="error-message">*Enter your state</div> |
| </div> |
| <div id="form-row-zip" class="row zip error"> |
| <label>ZIP/Postal Code<span class="req">*</span></label> |
| <input type="text" name="zip" value="" class="text" /> |
| <div class="error-message">*Enter your zip code</div> |
| </div> |
| <div id="form-row-country" class="row country error"> |
| <select> |
| <option selected="selected" disabled="disabled">Country/Territory</option> |
| <option value="1">Afghanistan</option> |
| <option value="2">Albania</option> |
| <option value="3">Algeria</option> |
| <option value="4">American Samoa</option> |
| <option value="5">Andorra</option> |
| <option value="6">Angola</option> |
| <option value="7">Anguilla</option> |
| <option value="8">Antarctica</option> |
| <option value="9">Antigua and Barbuda</option> |
| <option value="10">Argentina</option> |
| <option value="11">Armenia</option> |
| <option value="12">Armenia</option> |
| <option value="13">Aruba</option> |
| <option value="14">Australia</option> |
| <option value="15">Austria</option> |
| <option value="16">Azerbaijan</option> |
| <option value="17">Azerbaijan</option> |
| <option value="18">Bahamas</option> |
| <option value="19">Bahrain</option> |
| <option value="20">Bangladesh</option> |
| <option value="21">Barbados</option> |
| <option value="22">Belarus</option> |
| <option value="23">Belgium</option> |
| <option value="24">Belize</option> |
| <option value="25">Benin</option> |
| <option value="26">Bermuda</option> |
| <option value="27">Bhutan</option> |
| <option value="28">Bolivia</option> |
| <option value="29">Bosnia and Herzegovina</option> |
| <option value="30">Botswana</option> |
| <option value="31">Bouvet Island</option> |
| <option value="32">Brazil</option> |
| <option value="33">British Indian Ocean Ter.</option> |
| <option value="34">Brunei Darussalam</option> |
| <option value="35">Bulgaria</option> |
| <option value="36">Burkina Faso</option> |
| <option value="37">Burundi</option> |
| <option value="38">Cambodia</option> |
| <option value="39">Cameroon</option> |
| <option value="40">Canada</option> |
| <option value="41">Cape Verde</option> |
| <option value="42">Cayman Islands</option> |
| <option value="43">Central African Republic</option> |
| <option value="44">Chad</option> |
| <option value="45">Chile</option> |
| <option value="46">China</option> |
| <option value="47">Christmas Island</option> |
| <option value="48">Cocos (Keeling) Isl.</option> |
| <option value="49">Colombia</option> |
| <option value="50">Comoros</option> |
| <option value="51">Congo</option> |
| <option value="53">Cook Islands</option> |
| <option value="54">Costa Rica</option> |
| <option value="55">Cote D'ivoire</option> |
| <option value="56">Croatia</option> |
| <option value="57">Cuba</option> |
| <option value="58">Cyprus</option> |
| <option value="59">Cyprus</option> |
| <option value="60">Czech Republic</option> |
| <option value="61">Denmark</option> |
| <option value="62">Djibouti</option> |
| <option value="63">Dominica</option> |
| <option value="64">Dominican Republic</option> |
| <option value="65">Easter Island</option> |
| <option value="66">Ecuador</option> |
| <option value="67">Egypt</option> |
| <option value="68">El Salvador</option> |
| <option value="69">Equatorial Guinea</option> |
| <option value="70">Eritrea</option> |
| <option value="71">Estonia</option> |
| <option value="72">Ethiopia</option> |
| <option value="73">Falkland Islands</option> |
| <option value="74">Faroe Islands</option> |
| <option value="75">Fiji</option> |
| <option value="76">Finland</option> |
| <option value="77">France</option> |
| <option value="78">French Guiana</option> |
| <option value="79">French Polynesia</option> |
| <option value="80">French Southern Terr.</option> |
| <option value="81">Gabon</option> |
| <option value="82">Gambia</option> |
| <option value="83">Georgia</option> |
| <option value="84">Georgia</option> |
| <option value="85">Germany</option> |
| <option value="86">Ghana</option> |
| <option value="87">Gibraltar</option> |
| <option value="88">Greece</option> |
| <option value="89">Greenland</option> |
| <option value="90">Greenland</option> |
| <option value="91">Grenada</option> |
| <option value="92">Guadeloupe</option> |
| <option value="93">Guam</option> |
| <option value="94">Guatemala</option> |
| <option value="95">Guinea</option> |
| <option value="96">Guinea-bissau</option> |
| <option value="97">Guyana</option> |
| <option value="98">Haiti</option> |
| <option value="99">Heard Island/Mcdonald Isl.</option> |
| <option value="100">Honduras</option> |
| <option value="101">Hong Kong</option> |
| <option value="102">Hungary</option> |
| <option value="103">Iceland</option> |
| <option value="104">India</option> |
| <option value="105">Indonesia</option> |
| <option value="106">Indonesia</option> |
| <option value="107">Iran</option> |
| <option value="108">Iraq</option> |
| <option value="109">Ireland</option> |
| <option value="110">Israel</option> |
| <option value="111">Italy</option> |
| <option value="112">Jamaica</option> |
| <option value="113">Japan</option> |
| <option value="114">Jordan</option> |
| <option value="115">Kazakhstan</option> |
| <option value="116">Kazakhstan</option> |
| <option value="117">Kenya</option> |
| <option value="118">Kiribati</option> |
| <option value="119">Korea, North</option> |
| <option value="120">Korea, South</option> |
| <option value="121">Kosovo</option> |
| <option value="122">Kuwait</option> |
| <option value="123">Kyrgyzstan</option> |
| <option value="124">Laos</option> |
| <option value="125">Latvia</option> |
| <option value="126">Lebanon</option> |
| <option value="127">Lesotho</option> |
| <option value="128">Liberia</option> |
| <option value="129">Libyan Arab Jamahiriya</option> |
| <option value="130">Liechtenstein</option> |
| <option value="131">Lithuania</option> |
| <option value="132">Luxembourg</option> |
| <option value="133">Macau</option> |
| <option value="134">Macedonia</option> |
| <option value="135">Madagascar</option> |
| <option value="136">Malawi</option> |
| <option value="137">Malaysia</option> |
| <option value="138">Maldives</option> |
| <option value="139">Mali</option> |
| <option value="140">Malta</option> |
| <option value="141">Marshall Islands</option> |
| <option value="142">Martinique</option> |
| <option value="143">Mauritania</option> |
| <option value="144">Mauritius</option> |
| <option value="145">Mayotte</option> |
| <option value="146">Mexico</option> |
| <option value="147">Micronesia</option> |
| <option value="148">Moldova, Republic of</option> |
| <option value="149">Monaco</option> |
| <option value="150">Mongolia</option> |
| <option value="151">Montenegro</option> |
| <option value="152">Montserrat</option> |
| <option value="153">Morocco</option> |
| <option value="154">Mozambique</option> |
| <option value="155">Myanmar</option> |
| <option value="156">Namibia</option> |
| <option value="157">Nauru</option> |
| <option value="158">Nepal</option> |
| <option value="159">Netherlands</option> |
| <option value="160">Netherlands Antilles</option> |
| <option value="161">New Caledonia</option> |
| <option value="162">New Zealand</option> |
| <option value="163">Nicaragua</option> |
| <option value="164">Niger</option> |
| <option value="165">Nigeria</option> |
| <option value="166">Niue</option> |
| <option value="167">Norfolk Island</option> |
| <option value="168">Northern Mariana Isl.</option> |
| <option value="169">Norway</option> |
| <option value="170">Oman</option> |
| <option value="171">Pakistan</option> |
| <option value="172">Palau</option> |
| <option value="173">Palestinian Terr.</option> |
| <option value="174">Panama</option> |
| <option value="175">Papua New Guinea</option> |
| <option value="176">Paraguay</option> |
| <option value="177">Peru</option> |
| <option value="178">Philippines</option> |
| <option value="179">Pitcairn</option> |
| <option value="180">Poland</option> |
| <option value="181">Portugal</option> |
| <option value="182">Puerto Rico</option> |
| <option value="183">Qatar</option> |
| <option value="184">Reunion</option> |
| <option value="185">Romania</option> |
| <option value="186">Russia</option> |
| <option value="187">Russia</option> |
| <option value="188">Rwanda</option> |
| <option value="189">Saint Helena</option> |
| <option value="190">Saint Kitts/Nevis</option> |
| <option value="191">Saint Lucia</option> |
| <option value="192">Saint Pierre/Miquelon</option> |
| <option value="193">Saint Vincent/Grenadines</option> |
| <option value="194">Samoa</option> |
| <option value="195">San Marino</option> |
| <option value="196">Sao Tome/Principe</option> |
| <option value="197">Saudi Arabia</option> |
| <option value="198">Senegal</option> |
| <option value="199">Serbia/Montenegro</option> |
| <option value="200">Seychelles</option> |
| <option value="201">Sierra Leone</option> |
| <option value="202">Singapore</option> |
| <option value="203">Slovakia</option> |
| <option value="204">Slovenia</option> |
| <option value="205">Solomon Islands</option> |
| <option value="206">Somalia</option> |
| <option value="207">South Africa</option> |
| <option value="208">South Georgia/S.Sandwich Isl.</option> |
| <option value="209">Spain</option> |
| <option value="210">Sri Lanka</option> |
| <option value="211">Sudan</option> |
| <option value="212">Suriname</option> |
| <option value="213">Svalbard/Jan Mayen</option> |
| <option value="214">Swaziland</option> |
| <option value="215">Sweden</option> |
| <option value="216">Switzerland</option> |
| <option value="217">Syria</option> |
| <option value="218">Taiwan</option> |
| <option value="219">Tajikistan</option> |
| <option value="220">Tanzania</option> |
| <option value="221">Thailand</option> |
| <option value="222">Timor-leste</option> |
| <option value="223">Togo</option> |
| <option value="224">Tokelau</option> |
| <option value="225">Tonga</option> |
| <option value="226">Trinidad/Tobago</option> |
| <option value="227">Tunisia</option> |
| <option value="228">Turkey</option> |
| <option value="229">Turkey</option> |
| <option value="230">Turkmenistan</option> |
| <option value="231">Turks/Caicos Isl.</option> |
| <option value="232">Tuvalu</option> |
| <option value="233">Uganda</option> |
| <option value="234">Ukraine</option> |
| <option value="235">United Arab Emirates</option> |
| <option value="236">United Kingdom</option> |
| <option value="237">United States</option> |
| <option value="238">U.S. Minor Outlying Isl.</option> |
| <option value="239">Uruguay</option> |
| <option value="240">Uzbekistan</option> |
| <option value="241">Vanuatu</option> |
| <option value="242">Vatican City</option> |
| <option value="243">Venezuela</option> |
| <option value="244">Vietnam</option> |
| <option value="245">Virgin Islands (Brit)</option> |
| <option value="246">Virgin Islands (U.S.)</option> |
| <option value="247">Wallis and Futuna</option> |
| <option value="248">Western Sahara</option> |
| <option value="249">Yemen</option> |
| <option value="250">Yemen</option> |
| <option value="251">Zambia</option> |
| <option value="252">Zimbabwe</option> |
| </select><span class="req">*</span> |
| <div class="error-message">*Select a country</div> |
| </div> |
| </fieldset> |
| <fieldset id="form-register-fieldset-school" class="fieldset-school"> |
| <legend><span>School Information</span></legend> |
| <div id="form-row-gradyear" class="row schoolname error"> |
| <select> |
| <option selected="selected" disabled="disabled">School Name</option> |
| <option>Newark Unified School District</option> |
| <option>Carondelet High School</option> |
| <option>Erma Duncan Polytechnical High School</option> |
| </select><span class="req">*</span> |
| <div class="error-message">*Select your school</div> |
| </div> |
| <div id="form-row-gradyear" class="row gradyear error"> |
| <select> |
| <option selected="selected" disabled="disabled">Graduation Year</option> |
| <option>2011</option> |
| <option>2012</option> |
| <option>2013</option> |
| </select><span class="req">*</span> |
| <div class="error-message">*Select your graduation year</div> |
| </div> |
| <div id="form-row-schoollocation" class="row schoollocation"> |
| <select> |
| <option selected="selected" disabled="disabled">School Location</option> |
| <option>Location #1</option> |
| <option>Location #2</option> |
| <option>Location #3</option> |
| </select><span class="req">*</span> |
| </div> |
| <div id="form-row-schoolurl" class="row schoolurl"> |
| <label>School URL<span class="req">*</span></label> |
| <input type="url" name="schoolurl" value="" class="text" /> |
| </div> |
| </fieldset> |
| <fieldset id="form-register-fieldset-referral" class="fieldset-referral"> |
| <div id="form-row-referral" class="row referral"> |
| <label>How did you hear about this program?<span class="req">*</span></label> |
| </div> |
| <div id="form-row-radio-referral-student" class="row radio"> |
| <label><input type="radio" name="referral" value="Student" /> Another Google Summer of Code Student</label> |
| </div> |
| <div id="form-row-radio-referral-friend" class="row radio"> |
| <label><input type="radio" name="referral" value="Friend" /> A Friend</label> |
| </div> |
| <div id="form-row-radio-referral-social-media" class="row radio"> |
| <label><input type="radio" name="referral" value="Social media" /> Social Media (Blog post, Twitter, Facebook, etc.)</label> |
| </div> |
| <div id="form-row-radio-referral-news" class="row radio"> |
| <label><input type="radio" name="referral" value="News" /> News item</label> |
| </div> |
| <div id="form-row-radio-referral-other" class="row radio"> |
| <label><input type="radio" name="referral" value="Other" /> Other</label> |
| </div> |
| </fieldset> |
| <div id="form-register-fieldset-button-row" class="row button-row"> |
| <input id="form-register-submit" type="submit" value="Submit" class="submit" /> |
| </div> |
| </form> |
| <!-- end form --> |
| |
| </div> |
| <!-- .content --> |
| </div> |
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| <!-- .container_12 --> |
| </div> |
| <!-- .main --> |
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| <div id="footer"> |
| <div class="container_12"> |
| <div class="grid_3"> </div> |
| <!-- .grid_3 --> |
| <div class="grid_9"> |
| <div class="footer-menu"> |
| <ul id="footer-menu-list"> |
| <li id="footer-menu-about"><a href="javascript:void(0)">About</a></li> |
| <li id="footer-menu-contact"><a href="javascript:void(0)">Contact</a></li> |
| <li id="footer-menu-facebook" class="social"><a href="javascript:void(0)" class="fb">Facebook</a></li> |
| <li id="footer-menu-twitter" class="social"><a href="javascript:void(0)" class="tw">Twitter</a></li> |
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