2016-03-09 17:40:52 -05:00
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extends /templates/base-flat
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block content
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- var showDone = !view.trialRequest.isNew() && me.isAnonymous();
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#learn-more-modal.modal.fade
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.modal-dialog.modal-sm
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.modal-content.style-flat
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.modal-header
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.button.close(type="button", data-dismiss="modal", aria-hidden="true") ×
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.modal-body(data-i18n="teachers_quote.learn_more_modal")
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.container
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form#request-form(class=showDone ? 'hide' : '')
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.row
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.col-md-offset-2.col-md-8
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h3.text-center(data-i18n="teachers_quote.title")
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h4.text-center(data-i18n="[html]teachers_quote.subtitle")
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if !me.isAnonymous()
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.row
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.col-md-offset-2.col-md-8
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.alert.alert-info.text-center
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div
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span.spr(data-i18n="teachers_quote.not")
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strong= me.broadName()
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a.spl#logout-link(data-i18n="login.log_out")
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if me.get('role') === 'student'
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div#conversion-warning
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span.spr(data-i18n="[html]teachers_quote.conversion_warning")
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a(data-i18n="new_home.learn_more" data-toggle="modal" data-target="#learn-more-modal")
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#form-teacher-info
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if !me.isAnonymous()
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.row
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.col-md-offset-2.col-md-4.col-sm-6
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.form-group
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2016-04-19 13:20:56 -04:00
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label.control-label
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span(data-i18n="general.username")
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span.spl.text-muted(data-i18n="signup.optional")
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2016-03-09 17:40:52 -05:00
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- var name = me.get('name') || '';
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input.form-control(name="name" value=name, disabled=!!name)
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.col-md-4.col-sm-6
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.form-group
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2016-04-19 13:20:56 -04:00
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label.control-label(data-i18n="share_progress_modal.form_label")
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2016-03-09 17:40:52 -05:00
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- var email = me.get('email') || '';
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input.form-control(name="email" value=email, disabled=!!email)
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.row
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.col-md-offset-2.col-md-4.col-sm-6
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.form-group
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label.control-label(data-i18n="general.first_name")
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- var firstName = me.get('firstName') || '';
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input.form-control(name="firstName" value=firstName, disabled=!!firstName)
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.col-md-4.col-sm-6
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.form-group
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label.control-label(data-i18n="general.last_name")
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- var lastName = me.get('lastName') || '';
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input.form-control(name="lastName" value=lastName, disabled=!!lastName)
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2016-04-19 13:20:56 -04:00
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if !me.isAnonymous()
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.row
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.col-md-offset-2.col-md-4.col-sm-6
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.form-group
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label.control-label
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span(data-i18n="teachers_quote.phone_number")
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.help-block.small
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em.text-info(data-i18n="teachers_quote.phone_number_help")
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input.form-control(name="phoneNumber")
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2016-03-09 17:40:52 -05:00
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if me.isAnonymous()
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.row
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.col-md-offset-2.col-md-4.col-sm-6
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#email-form-group.form-group
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label.control-label(data-i18n="general.email")
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- var email = me.get('email') || '';
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input.form-control(name="email" type="email", value=email, disabled=!!email)
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2016-04-19 13:20:56 -04:00
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.col-md-4.col-sm-6
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.form-group
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label.control-label
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span(data-i18n="teachers_quote.phone_number")
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.help-block.small
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em.text-info(data-i18n="teachers_quote.phone_number_help")
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input.form-control(name="phoneNumber")
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2016-03-09 17:40:52 -05:00
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.row
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.col-md-offset-2.col-md-4.col-sm-6
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.form-group
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2016-04-19 13:20:56 -04:00
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label.control-label(data-i18n="teachers_quote.primary_role_label")
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2016-03-09 17:40:52 -05:00
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select.form-control(name="role")
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2016-04-19 13:20:56 -04:00
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option(data-i18n="teachers_quote.primary_role_default", , value='')
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2016-03-09 17:40:52 -05:00
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option(data-i18n="courses.teacher", value="Teacher")
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option(data-i18n="teachers_quote.tech_coordinator", value="Technology coordinator")
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option(data-i18n="teachers_quote.advisor", value="Advisor")
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option(data-i18n="teachers_quote.principal", value="Principal")
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option(data-i18n="teachers_quote.superintendent", value="Superintendent")
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option(data-i18n="teachers_quote.parent", value="Parent")
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2016-04-19 13:20:56 -04:00
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.col-md-4.col-sm-6
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.form-group
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label.control-label(data-i18n="teachers_quote.purchaser_role_label")
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select.form-control(name="purchaserRole")
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option(data-i18n="teachers_quote.purchaser_role_default", , value='')
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option(data-i18n="teachers_quote.influence_advocate", value="Influence/Advocate")
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option(data-i18n="teachers_quote.evaluate_recommend", value="Evaluate/Recommend")
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option(data-i18n="teachers_quote.approve_funds", value="Approve Funds")
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option(data-i18n="teachers_quote.no_purchaser_role", value="No role in purchase decisions")
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2016-03-09 17:40:52 -05:00
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#form-school-info
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.row
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.col-md-offset-2.col-md-4.col-sm-6
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.form-group
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label.control-label(data-i18n="teachers_quote.organization_label")
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2016-04-15 17:00:36 -04:00
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input.form-control#organization-control(name="organization")
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2016-03-09 17:40:52 -05:00
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.col-md-4.col-sm-6
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.form-group
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label.control-label(data-i18n="teachers_quote.city")
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input.form-control(name="city")
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.row
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.col-md-offset-2.col-md-4.col-sm-6
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.form-group
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label.control-label(data-i18n="teachers_quote.state")
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input.form-control(name="state")
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.col-md-4.col-sm-6
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.form-group
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label.control-labellabel.control-label(data-i18n="teachers_quote.country")
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input.form-control(name="country")
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#form-students-info
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.row
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.col-md-offset-2.col-md-4
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.form-group
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2016-04-19 13:20:56 -04:00
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label.control-label(data-i18n="courses.number_programming_students")
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2016-03-09 17:40:52 -05:00
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.help-block.small
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em.text-info(data-i18n="teachers_quote.num_students_help")
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select.form-control(name="numStudents")
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option(data-i18n="teachers_quote.num_students_default", value='')
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option 1-10
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option 11-50
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option 51-100
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option 101-200
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option 201-500
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option 501-1000
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option 1000+
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2016-04-19 13:20:56 -04:00
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.col-md-4.col-sm-6
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.form-group
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label.control-label(data-i18n="courses.number_total_students")
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select.form-control(name="numStudentsTotal")
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option(data-i18n="teachers_quote.num_students_default", value='')
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option 1-500
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option 500-1,000
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option 1,000-5,000
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option 5,000-10,000
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option 10,000+
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2016-03-09 17:40:52 -05:00
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.form-group
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.row
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.col-md-offset-2.col-md-10
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label.control-label(data-i18n="teachers_quote.education_level_label")
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.help-block.small
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em.text-info(data-i18n="teachers_quote.education_level_help")
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.col-md-offset-2.col-md-5
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.checkbox
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label
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input(type="checkbox" name="educationLevel" value="Elementary")
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span(data-i18n="teachers_quote.elementary_school")
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.checkbox
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label
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input(type="checkbox" name="educationLevel" value="Middle")
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span(data-i18n="teachers_quote.middle_school")
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2016-03-30 19:20:37 -04:00
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.checkbox
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label
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input(type="checkbox" name="educationLevel" value="High")
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span(data-i18n="teachers_quote.high_school")
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2016-03-09 17:40:52 -05:00
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.checkbox
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label
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input(type="checkbox" name="educationLevel" value="College+")
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span(data-i18n="teachers_quote.college_plus")
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.checkbox
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label
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input#other-education-level-checkbox(type="checkbox")
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span(data-i18n="nav.other").spr
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span(data-i18n="teachers_quote.please_explain")
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input#other-education-level-input.form-control
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#anything-else-row.row
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.col-md-offset-2.col-md-8
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label.control-label
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span(data-i18n="teachers_quote.anything_else")
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span.spl.text-muted(data-i18n="signup.optional")
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textarea.form-control(rows=8, name="notes")
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2016-04-19 01:54:43 -04:00
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input(type="hidden" name="nces_id")
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input(type="hidden" name="nces_name")
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input(type="hidden" name="nces_district")
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input(type="hidden" name="nces_district_id")
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input(type="hidden" name="nces_district_schools")
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input(type="hidden" name="nces_district_students")
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input(type="hidden" name="nces_students")
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2016-04-20 13:29:59 -04:00
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input(type="hidden" name="nces_phone")
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2016-03-09 17:40:52 -05:00
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#buttons-row.row.text-center
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input#submit-request-btn.btn.btn-lg.btn-primary(type="submit" data-i18n="[value]teachers_quote.title")
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#form-submit-success.text-center(class=showDone ? '' : 'hide')
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h3(data-i18n="teachers_quote.thanks_header")
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h4(data-i18n="teachers_quote.thanks_sub_header")
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p
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span.spr(data-i18n="teachers_quote.thanks_p")
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a.spl(href="mailto:team@codecombat.com") team@codecombat.com
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if me.isAnonymous()
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h5(data-i18n="teachers_quote.finish_signup")
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p(data-i18n="teachers_quote.finish_signup_p")
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#social-network-signups
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button#facebook-signup-btn.btn.btn-facebook.btn-lg.m-x-1
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span.spr(data-i18n="teachers_quote.signup_with")
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| Facebook
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img.m-l-1(src='/images/pages/community/logo_facebook.png')
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button#gplus-signup-btn.btn.btn-gplus.btn-lg.spr
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span.spr(data-i18n="teachers_quote.signup_with")
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| G+
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img.m-l-1(src='/images/pages/community/logo_g+.png')
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.text-h1.text-uppercase(data-i18n="general.or")
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form#signup-form.text-left
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.row
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.col-md-offset-2.col-md-4
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.form-group
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2016-03-30 19:20:37 -04:00
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label.control-label(data-i18n="general.username")
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2016-03-09 17:40:52 -05:00
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input.form-control(name="name")
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.row
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.col-md-offset-2.col-md-4
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.form-group
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label.control-label(data-i18n="general.password")
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input.form-control(name="password1", type="password")
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.col-md-4
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.form-group
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label.control-label(data-i18n="general.confirm_password")
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input.form-control(name="password2", type="password")
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.text-center
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button.btn.btn-lg.btn-navy(data-i18n="login.sign_up")
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