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<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Strict//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-strict.dtd">
<html xmlns="http://www.w3.org/1999/xhtml" xml:lang="en" lang="en">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<title>Online Application for IPRO Day Judges</title>
<style type="text/css">
.style1 {font-family: Verdana, Arial, Helvetica, sans-serif}
.style2 {
font-family: Verdana, Arial, Helvetica, sans-serif;
font-weight: bold;
color: #D90A04;
}
body {font-family: Verdana, Arial, Helvetica, sans-serif; font-size:80%; padding:10px;}
table {font-family: Verdana, Arial, Helvetica, sans-serif; font-size:100%;}
#sch td {border-bottom:1px solid #ccc;}
</style>
</head><body>
<div><a href="http://ipro.iit.edu"><img src="http://ipro.iit.edu/test_new/images/header.gif" alt="Interprofessional Projects Program" style="border-style: none" /></a></div>
<h2>IPRO Day Judges</h2>
<p class="style1">Please complete the Personal Information form in order to register as an IPRO Day Judge for May 2nd, 2008. <br />
Please note that all fields that are required are marked with ' * ' symbol.<br />
</p>
<form id="form1" method="post" action="http://sloth.iit.edu/~iproadmin/scripts/judges.php"><fieldset>
<table width="100%">
<tr>
<td style="width:27%" align="left" valign="top"><label for="textfield" class="style1">First Name*</label></td>
<td style="width:73%" align="left" valign="top"><input name="textfield" id="textfield" type="text" tabindex="1" size="30" maxlength="30" /></td>
</tr>
<tr>
<td align="left" valign="top"><label for="textfield2" class="style1">Last Name*</label></td>
<td align="left" valign="top"><input name="textfield2" id="textfield2" type="text" tabindex="2" size="30" maxlength="30" /></td>
</tr>
<tr>
<td align="left" valign="top"><label for="textfield6" class="style1">Title</label></td>
<td align="left" valign="top"><input name="textfield6" id="textfield6" type="text" tabindex="6" size="30" maxlength="30" /></td>
</tr>
<tr>
<td align="left" valign="top"><label for="textfield7" class="style1">Tag Name</label></td>
<td align="left" valign="top"><input name="textfield7" id="textfield7" type="text" tabindex="7" size="30" maxlength="30" /></td>
</tr>
<tr>
<td align="left" valign="top"><label for="textfield8" class="style1">Institution or Company </label></td>
<td align="left" valign="top"><input name="textfield8" id="textfield8" type="text" tabindex="8" size="30" maxlength="30" /></td>
</tr>
<tr>
<td align="left" valign="top"><label for="textfield9" class="style1">Phone*</label></td>
<td align="left" valign="top"><input name="textfield9" id="textfield9" type="text" tabindex="9" size="20" maxlength="20" /></td>
</tr>
<tr>
<td align="left" valign="top"><label for="textfield10" class="style1">E-mail* </label></td>
<td align="left" valign="top"><input name="textfield10" id="textfield10" type="text" tabindex="10" size="30" maxlength="50" /></td>
</tr>
<tr>
<td align="left" valign="top"><label for="list" class="style1">I am a: * </label></td>
<td align="left" valign="top"><select name="list" size="1" id="list">
<option>Educational Professional</option>
<option>Business Professional</option>
<option>Graduate Student</option>
<option>Other</option>
</select></td>
</tr>
<tr>
<td align="left" valign="top"><label for="expertise" class="style1">Major Areas of Expertise or Industry Experiences: </label></td>
<td align="left" valign="top"><textarea name="expertise" cols="50" rows="4" id="expertise"></textarea></td>
</tr>
<tr>
<td align="left" valign="top"><label for="underMajor" class="style1">Undergraduate Major: </label></td>
<td align="left" valign="top"><span class="style1">
<select name="underMajor" id="underMajor">
<option value="">Click to Choose...</option>
<option value="Aerospace Engineering">Aerospace Engineering</option>
<option value="Applied Mathematics">Applied Mathematics</option>
<option value="Architectural">Architectural Engineering</option>
<option value="Architecture">Architecture</option>
<option value="Biology">Biology</option>
<option value="Biomedical Engineering">Biomedical Engineering</option>
<option value="Business">Business</option>
<option value="Chemical Engineering">Chemical Engineering</option>
<option value="Chemistry">Chemistry</option>
<option value="Civil Engineering">Civil Engineering</option>
<option value="Computer Engineering">Computer Engineering</option>
<option value="Computer Information Systems">Computer Information Systems</option>
<option value="Computer Science">Computer Science</option>
<option value="Design">Design</option>
<option value="Electrical Engineering">Electrical Engineering</option>
<option value="Engineering Management">Engineering Management</option>
<option value="Internet Communication">Internet Communication</option>
<option value="Journalism">Journalism</option>
<option value="Law">Law</option>
<option value="Material Sci/Eng">Material Science / Engineering</option>
<option value="Mathematics Education">Mathematics Education</option>
<option value="Mechanical Engineering">Mechanical Engineering</option>
<option value="Molecular Biochem/Biophysics">Molecular Biochem/Biophysics</option>
<option value="Physics">Physics</option>
<option value="Political Science">Politcal Science</option>
<option value="Professional Development">Professional Development</option>
<option value="Prof/Tech Communication">Professional / Technical Communication</option>
<option value="Psychology">Psychology</option>
<option value="Public Administration">Public Administration</option>
<option value="Science Education">Science Education</option>
<option value="Other">Other</option>
<option value="N/A">N/A</option>
</select>
</span></td>
</tr>
<tr>
<td align="left" valign="top"><label for="gradMajor" class="style1">Graduate Major: </label></td>
<td align="left" valign="top"><span class="style1">
<select name="gradMajor" id="gradMajor">
<option value="">Click to Choose...</option>
<option value="Aerospace Engineering">Aerospace Engineering</option>
<option value="Applied Mathematics">Applied Mathematics</option>
<option value="Architectural">Architectural Engineering</option>
<option value="Architecture">Architecture</option>
<option value="Biology">Biology</option>
<option value="Biomedical Engineering">Biomedical Engineering</option>
<option value="Business">Business</option>
<option value="Chemical Engineering">Chemical Engineering</option>
<option value="Chemistry">Chemistry</option>
<option value="Civil Engineering">Civil Engineering</option>
<option value="Computer Engineering">Computer Engineering</option>
<option value="Computer Information Systems">Computer Information Systems</option>
<option value="Computer Science">Computer Science</option>
<option value="Design">Design</option>
<option value="Electrical Engineering">Electrical Engineering</option>
<option value="Engineering Management">Engineering Management</option>
<option value="Internet Communication">Internet Communication</option>
<option value="Journalism">Journalism</option>
<option value="Law">Law</option>
<option value="Material Sci/Eng">Material Science / Engineering</option>
<option value="Mathematics Education">Mathematics Education</option>
<option value="Mechanical Engineering">Mechanical Engineering</option>
<option value="Molecular Biochem/Biophysics">Molecular Biochem/Biophysics</option>
<option value="Physics">Physics</option>
<option value="Political Science">Politcal Science</option>
<option value="Professional Development">Professional Development</option>
<option value="Prof/Tech Communication">Professional / Technical Communication</option>
<option value="Psychology">Psychology</option>
<option value="Public Administration">Public Administration</option>
<option value="Science Education">Science Education</option>
<option value="Other">Other</option>
<option value="N/A">N/A</option>
</select>
</span></td>
</tr>
<tr>
<td align="left" valign="top"><label for="textfield" class="style1">Have you judged IPRO Day before? </label></td>
<td align="left" valign="top"><input type="radio" name="before" id="before1" value="yes" /> <label for="before1">yes</label><br /><input type="radio" name="before" id="before2" value="no" /> <label for="before2">no</label></td>
</tr>
<tr>
<td align="left" valign="top"><label for="preference" class="style1">Judging Preference: </label></td>
<td align="left" valign="top"><select name="preference" id="preference" size="1">
<option>Exhibits</option>
<option>Presentations</option>
<option selected="selected">No preference</option>
</select></td>
</tr>
<tr>
<td align="left" valign="top"><span class="style1"><input name="parking" id="parking" type="checkbox" /> <label for="parking" class="style1">I require a parking pass.</label></span></td>
</tr>
<tr>
<td align="left" valign="top"><label for="address" class="style1">If so, please enter your address (street, city, state, zip):</label></td>
<td align="left" valign="top"><textarea name="address" id="address" cols="50" rows="4"></textarea></td>
</tr>
<tr>
<td align="left" valign="top"><label for="dietaryRestrictions" class="style1">I have dietary restrictions. Please explain:</label></td>
<td align="left" valign="top"><textarea name="dietaryRestrictions" cols="50" rows="4" id="dietaryRestrictions"></textarea></td>
</tr>
<tr>
<td align="left" valign="top"><label for="handicap" class="style1">I am handicapped. Please explain:</label></td>
<td align="left" valign="top"><textarea name="handicap" cols="50" rows="4" id="handicap"></textarea></td>
</tr>
<tr>
<td align="left" valign="top"> </td>
<td align="left" valign="top"> </td>
</tr>
<tr>
<td align="left" valign="top"><input type="submit" name="Submit" value="Submit" /></td>
<td align="left" valign="top"> </td>
</tr>
</table>
</fieldset></form>
</body>
</html>