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application.htm
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<!DOCTYPE html>
<html>
<head>
<meta charset="utf-8">
<meta http-equiv="X-UA-Compatible" content="IE=edge">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<title>VSA 2016 | Application</title>
<meta content="Program of Visnjan School of Astronomy" name="Description">
<meta content="school astronomy program" name="Keywords">
<link href="bootstrap.min.css" rel="stylesheet" type="text/css">
<link href="vsa_main.css" rel="stylesheet" type="text/css">
<link href="fonts/stylesheet.css" rel="stylesheet" type="text/css">
</head>
<body>
<div class="container-fluid main white">
<div class="row visnjan_banner">
<div class="col-xs-12" id="header">
<img alt="VSA" src="vsa_white.png">
</div>
</div>
<div class="row white">
<div class="menu col-xs-12 col-sm-3 col-md-2">
<ul class="nav">
<li id="nav_hom">
<a href=".">Home</a>
</li>
<li id="nav_prog">
<a href="program.htm">Program</a>
</li>
<li id="nav_proj">
<a href="projects.htm">Projects</a>
</li>
<li id="nav_lec">
<a href="lectures.htm">Lectures</a>
</li>
<li id="nav_app" class="active">
<a href="application.htm">Application</a>
</li>
<li id="nav_spo">
<a href="sponsors.htm">Sponsors</a>
</li>
<li id="nav_pre">
<a href="previous.htm">Previous</a>
</li>
<li id="nav_con">
<a href="contact.htm">Contact</a>
</li>
</ul>
</div>
<div id="" class="col-xs-12 col-sm-9 col-md-10">
<h1>Application</h1>
<div class="captioned_photo">
<img alt="Application form" height="200" src="application_big.jpg" width="200">
<p><span>Applying for VSA is easy, just sign down there ...</span></p>
</div>
<p>Application to the VSA is done in two steps:</p>
<ol>
<li>filling in the application form</li>
<li>providing recommendation letter from one of your teachers</li>
</ol>
<p><br>
<strong><span class="style2">Deadline: 01.06.2016., 23:59 UT</span></strong></p>
<h2>Application form</h2>
<form action="http://www.cficroatia.hr/vsa/send.php" method="post">
<fieldset>
<legend><span>Personal information</span></legend>
<ol>
<li><label class="blize" for="name">Name and Surname:</label> <input class="text" id="name" name="name" type="text"></li>
<li><label class="blize" for="sex">Sex:</label> <select name="sex">
<option value="male">
Male
</option>
<option selected value="female">
Female
</option>
</select></li>
<li><label class="blize" for="birth">Date of birth:</label> <input class="text" id="birth" name="birth" type="text"></li>
<li><label class="blize" for="birthplace">Birthplace:</label> <input class="text" id="birthplace" name="birthplace" type="text"></li>
<li><label class="blize" for="address">Home address:</label> <input class="text" id="address" name="address" type="text"></li>
<li><label class="blize" for="putovnica">Your Identity Card number or Passport No.:</label> <big><input class="text" id="putovnica" name="putovnica" type="text"></big></li>
<li><label class="blize" for="email">Email:</label> <input class="text" id="email" name="email" type="text"></li>
<li><label class="blize" for="phone">Telephone:</label> <input class="text" id="phone" name="phone" type="text"></li>
<li><label class="blize" for="school">School:</label> <input class="text" id="school" name="school" type="text"></li>
<li><label class="blize" for="grade">Finished grade:</label> <input class="text" id="grade" name="grade" type="text"></li>
</ol>
</fieldset>
<fieldset class="alt">
<legend><span>Interests and achievements</span></legend>
<ol>
<li><label for="activity">Attended school activities:</label> <input class="text" id="activity" name="activity" type="text"></li>
<li><label for="mag">Scientific magazines you read:</label> <input class="text" id="mag" name="mag" type="text"></li>
<li><label for="astro">Astronomy fields of interest:</label> <input class="text" id="astro" name="astro" type="text"></li>
<li><label for="prog">Can you code programs?</label> <select name="prog">
<option value="no">
No
</option>
<option selected value="yes">
Yes
</option>
</select></li>
<li><label for="prog2">If yes, in which programming languages:</label> <input class="text" id="prog2" name="prog2" type="text"></li>
<li><label for="lang">Languages you speak:</label> <input class="text" id="lang" name="lang" type="text"></li>
<li><label for="con">Have you participated in contests?</label> <select name="con">
<option value="no">
No
</option>
<option selected value="yes">
Yes
</option>
</select></li>
<li><label for="con2">If yes, which ones:</label> <input class="text" id="con2" name="con2" type="text"></li>
<li><label for="ss">Have you attended similar programs?</label> <select name="ss">
<option value="no">
No
</option>
<option selected value="yes">
Yes
</option>
</select></li>
<li><label for="ss2">If yes, which ones:</label> <input class="text" id="ss2" name="ss2" type="text"></li>
</ol>
</fieldset>
<fieldset>
<legend><span>Technical information</span></legend>
<ol>
<li><label for="heard">How did you hear for VSA?</label> <select name="heard">
<option selected value="pzm">
On National astronomy contest
</option>
<option value="web">
On Visnjan Observatory web
</option>
<option value="teacher">
From a teacher
</option>
<option value="friend">
From a friend
</option>
<option value="other">
Other (write how)
</option>
</select> <input class="text" id="other2" name="other2" type="text"></li>
<li><label for="pay">The participation fee would be <span class="style4">1600 kunas (~210 Euro).</span> Can you find a sponsor (after the submission of the invitation letter) which could pay your total expenses of 3200 Kn (~420 Euro)?</label> <select name="pay">
<option selected value="yes">
Yes
</option>
<option value="no">
No
</option>
</select></li>
<li><label for="letter">How will the recommendation letter arrive?</label> <select name="letter">
<option value="snail">
Snail mail
</option>
<option selected value="email">
Email
</option>
</select></li>
</ol>
</fieldset>
<fieldset class="alt">
<legend><span>Motivation letter</span></legend>
<ol>
<li><label for="mletter">Describe what your interests are in general, what you would like to learn and what you expect from VSA.</label>
<textarea cols="50" name="mletter" rows="15"></textarea></li>
</ol>
</fieldset>
<fieldset class="submit">
<input class="submit" type="submit" value="Send">
</fieldset>
</form>
<p> </p>
</div>
</div>
</div>
<div class="container-fluid footer">
<div class="row">
<div class="col-xs-12" id="footer">
<p class="pull-left">Visnjan Observatory, Istarska 5, 52463 Visnjan, Croatia</p>
<p class="pull-right">April, 2016</p>
</div>
</div>
</div>
</body>
</html>