69 lines
3.0 KiB
HTML
69 lines
3.0 KiB
HTML
<!-- TODO: Add pattern field to username. See HTML5 cookbook, page 84 for details-->
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<div name="enroll_form" id="enroll_form">
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<h1>Enroll in 6.002 Circuits & Electronics</h1>
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<form name="enroll" id="enroll_form" method="get">
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<fieldset><% if 'error' in locals(): e = error %>
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<div id="enroll_error" name="enroll_error"></div>
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<ol>
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<li class="email">
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<label>E-mail*</label>
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<input name="email" id="ca_email" type="email" required />
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</li>
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<li class="password">
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<label>Password*</label>
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<input name="password" id="ca_password" type="password" required />
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</li>
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<li class="username">
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<label>Username (public)* <span class="ui-icon ui-icon-help" id="spinner_nick" style="display:inline-block;"></span></label>
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<input name="username" id="ca_username" type="text" required />
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<div id="sregion_nick" class="tip">Nickname you'd like to use on forums.</div>
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</li>
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<li class="full-name">
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<label>Full name<span class="ui-icon ui-icon-help" id="spinner_name" style="display:inline-block;"></span></label>
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<input name="name" id="ca_name" type="text" />
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<div class="tip" id="sregion_name">If you would like us to give you a certificate of completion at the end, we need your full legal name, as you would like it to appear on the certificate (e.g. "John Smith, Jr").</div>
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</li>
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<li class="location">
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<label>Location <span class="ui-icon ui-icon-help" id="spinner_location" style="display:inline-block;"></span></label>
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<input name="location" id="ca_location" type="text" />
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<div id="sregion_location" class="tip">Preferred format is city, state, country (so for us, "Cambridge, Massachusetts, USA").</div>
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</li>
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<li class="language">
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<label>Preferred Language <span class="ui-icon ui-icon-help" id="spinner_language" style="display:inline-block;"></span></label>
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<input name="language" id="ca_language" type="text" />
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<div id="sregion_language" class="tip">Please let us know what language you'd most like to see the content in (even if not your native). We're working on translations and internationalization.</div>
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</li>
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<li class="terms">
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<label> <input name="terms_of_service" id="cb_terms_of_service" type="checkbox" value="terms_of_service" required />I agree to the Terms of Service*</label>
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</li>
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<li class="honor-code">
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<label>
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<input name="honor_code" id="cb_honor_code" type="checkbox" value="honor_code" required />I agree to the Honor code.*</label>
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<ul>
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<li>Not engage in any activities that would dishonestly improve my results, or improve or hurt those of others.</li>
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<li>Never post answers to problems.</li>
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<li>Maintain only one account.</li>
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</ul>
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</li>
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</ol>
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<input name="create_account_button" id="create_account_button" type="submit" value="Create Account">
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</fieldset> </form>
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</div>
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