extends /templates/base-flat block content #learn-more-modal.modal.fade .modal-dialog.modal-sm .modal-content.style-flat .modal-header .button.close(type="button", data-dismiss="modal", aria-hidden="true") × .modal-body(data-i18n="teachers_quote.learn_more_modal") .container form .row.text-center .col-md-offset-2.col-md-8 h3.m-t-3(data-i18n="teachers_quote.convert_account_title") h4(data-i18n="[html]teachers_quote.create_account_subtitle") .alert.alert-info.m-y-2 div span.spr(data-i18n="teachers_quote.not") strong= me.broadName() | ? a.spl#logout-link(data-i18n="login.log_out") if me.get('role') === 'student' div#conversion-warning.m-t-2 span.spr(data-i18n="[html]teachers_quote.conversion_warning") a(data-i18n="new_home.learn_more" data-toggle="modal" data-target="#learn-more-modal") .row.m-y-2 .col-md-offset-2.col-md-4.col-sm-6 .form-group span.control-label(data-i18n="general.username") input.form-control(disabled=true value=me.get('name')) .col-md-4.col-sm-6 #email-form-group.form-group span.control-label(data-i18n="general.email") input.form-control(name='email' disabled=true value=me.get('email')) .row.m-y-2 .col-md-offset-2.col-md-4.col-sm-6 .form-group span.control-label(data-i18n="general.first_name") input.form-control(name="firstName" value=me.get('firstName') || '') .col-md-4.col-sm-6 .form-group span.control-label(data-i18n="general.last_name") input.form-control(name="lastName" value=me.get('lastName') || '') .row.m-y-2 .col-md-offset-2.col-md-4.col-sm-6 .form-group span.control-label span(data-i18n="teachers_quote.phone_number") span.spl.text-muted(data-i18n="signup.optional") input.form-control(name="phoneNumber", data-i18n="[placeholder]teachers_quote.phone_number_help") .col-md-4.col-sm-6 .form-group span.control-label(data-i18n="teachers_quote.primary_role_label") select.form-control(name="role") option(data-i18n="teachers_quote.role_default", , value='') option(data-i18n="courses.teacher", value="Teacher") option(data-i18n="teachers_quote.tech_coordinator", value="Technology coordinator") option(data-i18n="teachers_quote.advisor", value="Advisor") option(data-i18n="teachers_quote.principal", value="Principal") option(data-i18n="teachers_quote.superintendent", value="Superintendent") option(data-i18n="teachers_quote.parent", value="Parent") #form-school-info .row.m-y-2 .col-md-offset-2.col-md-4.col-sm-6 .form-group span.control-label span(data-i18n="teachers_quote.organization_label") span.spl.text-muted(data-i18n="signup.optional") input.form-control#organization-control(name="organization") .col-md-4.col-sm-6 .form-group //- TODO: algolia and form errors both change form-control //- TODO: District not red on validation error span.control-label.form-control.nullify-form-control(data-i18n="teachers_quote.district_label") input.form-control#district-control(name="district", data-i18n="[placeholder]teachers_quote.district_na") .row.m-y-2 .col-md-offset-2.col-md-4.col-sm-6 .form-group span.control-label(data-i18n="teachers_quote.city") input.form-control(name="city") .col-md-4.col-sm-6 .form-group span.control-label(data-i18n="teachers_quote.state") input.form-control(name="state") .row.m-y-2 .col-md-offset-2.col-md-4.col-sm-6 .form-group span.control-labelspan.control-label(data-i18n="teachers_quote.country") input.form-control(name="country") #form-students-info .row.m-y-2 .col-md-offset-2.col-md-4 .form-group span.control-label(data-i18n="courses.number_programming_students") .help-block.small em.text-info(data-i18n="teachers_quote.num_students_help") select.form-control(name="numStudents") option(data-i18n="teachers_quote.num_students_default", value='') option 1-10 option 11-50 option 51-100 option 101-200 option 201-500 option 501-1000 option 1000+ .col-md-4.col-sm-6 .form-group span.control-label span(data-i18n="courses.number_total_students") span.spl.text-muted(data-i18n="signup.optional") select.form-control(name="numStudentsTotal") option(data-i18n="teachers_quote.num_students_default", value='') option 1-500 option 500-1,000 option 1,000-5,000 option 5,000-10,000 option 10,000+ .form-group .row.m-y-2 .col-md-offset-2.col-md-4 span.control-label(data-i18n="teachers_quote.education_level_label") .help-block.small em.text-info(data-i18n="teachers_quote.education_level_help") .checkbox label input(type="checkbox" name="educationLevel" value="Elementary") span(data-i18n="teachers_quote.elementary_school") .checkbox label input(type="checkbox" name="educationLevel" value="Middle") span(data-i18n="teachers_quote.middle_school") .checkbox label input(type="checkbox" name="educationLevel" value="High") span(data-i18n="teachers_quote.high_school") .checkbox label input(type="checkbox" name="educationLevel" value="College+") span(data-i18n="teachers_quote.college_plus") .checkbox label input#other-education-level-checkbox(type="checkbox") span(data-i18n="nav.other").spr span(data-i18n="teachers_quote.please_explain") input#other-education-level-input.form-control #anything-else-row.row.m-y-2 .col-md-offset-2.col-md-8 span.control-label span(data-i18n="teachers_quote.anything_else") span.spl.text-muted(data-i18n="signup.optional") textarea.form-control(rows=8, name="notes") input(type="hidden" name="nces_id") input(type="hidden" name="nces_name") input(type="hidden" name="nces_district") input(type="hidden" name="nces_district_id") input(type="hidden" name="nces_district_schools") input(type="hidden" name="nces_district_students") input(type="hidden" name="nces_students") input(type="hidden" name="nces_phone") #buttons-row.row.m-y-2.text-center input#create-account-btn.btn.btn-lg.btn-primary(type="submit" data-i18n="[value]teachers_quote.convert_account_title")