extends /templates/base block content form.form(class=view.trialRequest.isNew() ? '' : 'hide') h1.text-center(data-i18n="teachers_quote.title") p.text-center(data-i18n="teachers_quote.subtitle") .row .col-sm-offset-2.col-sm-4 .form-group label.control-label(data-i18n="general.name") - var name = me.get('name') || ''; input.form-control(name="name" value=name, disabled=!!name) .col-sm-4 #email-form-group.form-group label.control-label(data-i18n="general.email") - var email = me.get('email') || ''; input.form-control(name="email" type="email", value=email, disabled=!!email) .row .col-sm-offset-2.col-sm-4 .form-group label.control-label span(data-i18n="teachers_quote.phone_number") span.spl.text-muted(data-i18n="signup.optional") .help-block em.text-info(data-i18n="teachers_quote.phone_number_help") input.form-control(name="phoneNumber") .col-sm-4 .form-group label.control-label(data-i18n="teachers_quote.role_label") .help-block em.text-info(data-i18n="teachers_quote.role_help") select.form-control(name="role") option 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") .row .col-sm-offset-2.col-sm-8 hr .row .col-sm-offset-2.col-sm-4 .form-group label.control-label(data-i18n="teachers_quote.organization_label") input.form-control(name="organization") .col-sm-4 .form-group label.control-label(data-i18n="teachers_quote.city") input.form-control(name="city") .row .col-sm-offset-2.col-sm-4 .form-group label.control-label(data-i18n="teachers_quote.state") input.form-control(name="state") .col-sm-4 .form-group label.control-labellabel.control-label(data-i18n="teachers_quote.country") input.form-control(name="country") .row .col-sm-offset-2.col-sm-8 hr .row .col-sm-offset-2.col-sm-5 .form-group label.control-label(data-i18n="courses.number_students") .help-block em.text-info(data-i18n="teachers_quote.num_students_help") select.form-control(name="numStudents") option option 1-10 option 11-50 option 51-100 option 101-200 option 201-500 option 501-1000 option 1000+ .form-group .row .col-sm-offset-2.col-sm-4 label.control-label(data-i18n="teachers_quote.education_level_label") .help-block em.text-info(data-i18n="teachers_quote.education_level_help") .row .col-sm-offset-2.col-sm-2 label.control-label.checkbox input(type="checkbox" name="educationLevel" value="Elementary") span(data-i18n="teachers_quote.elementary_school") .col-sm-2 label.control-label.checkbox input(type="checkbox" name="educationLevel" value="High") span(data-i18n="teachers_quote.high_school") .col-sm-6 // Other field uses custom logic, so no name field is included in either input. // That way the forms library ignores it. .checkbox-inline label.control-label input#other-education-level-checkbox(type="checkbox") span(data-i18n="nav.other") br span(data-i18n="teachers_quote.please_explain") input#other-education-level-input.form-control .row .col-sm-offset-2.col-sm-2 label.control-label.checkbox input(type="checkbox" name="educationLevel" value="Middle") span(data-i18n="teachers_quote.middle_school") .col-sm-2 label.control-label.checkbox input(type="checkbox" name="educationLevel" value="College+") span(data-i18n="teachers_quote.college_plus") #anything-else-row.row .col-sm-offset-2.col-sm-8 label.control-label span(data-i18n="teachers_quote.anything_else") span.spl.text-muted(data-i18n="signup.optional") textarea.form-control(rows=8, name="notes") #buttons-row.row.text-center input#submit-request-btn.btn.btn-primary(type="submit" data-i18n="[value]common.send") #form-submit-success.text-center(class=view.trialRequest.isNew() ? 'hide' : '') h1.text-center(data-i18n="teachers_quote.thanks_header") p.text-center span.spr(data-i18n="teachers_quote.thanks_p") a.spl(href="mailto:team@codecombat.com") team@codecombat.com if me.isAnonymous() p.text-center(data-i18n="teachers_quote.thanks_anon") p.text-center button#login-btn.btn.btn-info(data-i18n="login.log_in") button#signup-btn.btn.btn-info(data-i18n="login.sign_up") else p.text-center(data-i18n="teachers_quote.thanks_logged_in")