extends /templates/base-flat block content - var showDone = !view.trialRequest.isNew() && me.isAnonymous(); #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#request-form(class=showDone ? 'hide' : '') .row .col-md-offset-2.col-md-8 h3.text-center(data-i18n="teachers_quote.title") h4.text-center(data-i18n="[html]teachers_quote.subtitle") if !me.isAnonymous() .row .col-md-offset-2.col-md-8 .alert.alert-info.text-center 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 span.spr(data-i18n="[html]teachers_quote.conversion_warning") a(data-i18n="new_home.learn_more" data-toggle="modal" data-target="#learn-more-modal") #form-teacher-info if !me.isAnonymous() .row .col-md-offset-2.col-md-4.col-sm-6 .form-group label.control-label span(data-i18n="general.username") span.spl.text-muted(data-i18n="signup.optional") - var name = me.get('name') || ''; input.form-control(name="name" value=name, disabled=!!name) .col-md-4.col-sm-6 .form-group label.control-label(data-i18n="share_progress_modal.form_label") - var email = me.get('email') || ''; input.form-control(name="email" value=email, disabled=!!email) .row .col-md-offset-2.col-md-4.col-sm-6 .form-group label.control-label(data-i18n="general.first_name") - var firstName = me.get('firstName') || ''; input.form-control(name="firstName" value=firstName, disabled=!!firstName) .col-md-4.col-sm-6 .form-group label.control-label(data-i18n="general.last_name") - var lastName = me.get('lastName') || ''; input.form-control(name="lastName" value=lastName, disabled=!!lastName) if !me.isAnonymous() .row .col-md-offset-2.col-md-4.col-sm-6 .form-group label.control-label span(data-i18n="teachers_quote.phone_number") .help-block.small em.text-info(data-i18n="teachers_quote.phone_number_help") input.form-control(name="phoneNumber") if me.isAnonymous() .row .col-md-offset-2.col-md-4.col-sm-6 #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) .col-md-4.col-sm-6 .form-group label.control-label span(data-i18n="teachers_quote.phone_number") .help-block.small em.text-info(data-i18n="teachers_quote.phone_number_help") input.form-control(name="phoneNumber") .row .col-md-offset-2.col-md-4.col-sm-6 .form-group label.control-label(data-i18n="teachers_quote.primary_role_label") select.form-control(name="role") option(data-i18n="teachers_quote.primary_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") .col-md-4.col-sm-6 .form-group label.control-label(data-i18n="teachers_quote.purchaser_role_label") select.form-control(name="purchaserRole") option(data-i18n="teachers_quote.purchaser_role_default", , value='') option(data-i18n="teachers_quote.influence_advocate", value="Influence/Advocate") option(data-i18n="teachers_quote.evaluate_recommend", value="Evaluate/Recommend") option(data-i18n="teachers_quote.approve_funds", value="Approve Funds") option(data-i18n="teachers_quote.no_purchaser_role", value="No role in purchase decisions") #form-school-info .row .col-md-offset-2.col-md-4.col-sm-6 .form-group label.control-label(data-i18n="teachers_quote.organization_label") input.form-control#organization-control(name="organization") .col-md-4.col-sm-6 .form-group label.control-label(data-i18n="teachers_quote.city") input.form-control(name="city") .row .col-md-offset-2.col-md-4.col-sm-6 .form-group label.control-label(data-i18n="teachers_quote.state") input.form-control(name="state") .col-md-4.col-sm-6 .form-group label.control-labellabel.control-label(data-i18n="teachers_quote.country") input.form-control(name="country") #form-students-info .row .col-md-offset-2.col-md-4 .form-group label.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 label.control-label(data-i18n="courses.number_total_students") 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 .col-md-offset-2.col-md-10 label.control-label(data-i18n="teachers_quote.education_level_label") .help-block.small em.text-info(data-i18n="teachers_quote.education_level_help") .col-md-offset-2.col-md-5 .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 .col-md-offset-2.col-md-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") 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.text-center input#submit-request-btn.btn.btn-lg.btn-primary(type="submit" data-i18n="[value]teachers_quote.title") #form-submit-success.text-center(class=showDone ? '' : 'hide') h3(data-i18n="teachers_quote.thanks_header") h4(data-i18n="teachers_quote.thanks_sub_header") p span.spr(data-i18n="teachers_quote.thanks_p") a.spl(href="mailto:team@codecombat.com") team@codecombat.com if me.isAnonymous() h5(data-i18n="teachers_quote.finish_signup") p(data-i18n="teachers_quote.finish_signup_p") #social-network-signups button#facebook-signup-btn.btn.btn-facebook.btn-lg.m-x-1 span.spr(data-i18n="teachers_quote.signup_with") | Facebook img.m-l-1(src='/images/pages/community/logo_facebook.png') button#gplus-signup-btn.btn.btn-gplus.btn-lg.spr span.spr(data-i18n="teachers_quote.signup_with") | G+ img.m-l-1(src='/images/pages/community/logo_g+.png') .text-h1.text-uppercase(data-i18n="general.or") form#signup-form.text-left .row .col-md-offset-2.col-md-4 .form-group label.control-label(data-i18n="general.username") input.form-control(name="name") .row .col-md-offset-2.col-md-4 .form-group label.control-label(data-i18n="general.password") input.form-control(name="password1", type="password") .col-md-4 .form-group label.control-label(data-i18n="general.confirm_password") input.form-control(name="password2", type="password") .text-center button.btn.btn-lg.btn-navy(data-i18n="login.sign_up")