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<%namespace name='static' file='static_content.html'/>
<section class="modal signup-modal">
<div class="inner-wrapper">
<header>
<h3>Sign Up for edX</h3>
<hr>
</header>
<form id="enroll_form" method="post">
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<label>E-mail</label>
<input name="email" type="email" placeholder="E-mail">
<label>Password</label>
<input name="password" type="password" placeholder="Password">
<label>Public Username</label>
<input name="username" type="text" placeholder="Public Username">
<label>Full Name</label>
<input name="fullname" type="text" placeholder="Full Name">
<label>Your Location</label>
<input name="location" type="text" placeholder="Your Location">
<label>Prefered Language</label>
<input name="language" type="text" placeholder="Prefered Language">
<label class="terms-of-service">
<input name="terms-of-service" type="checkbox">
I agree to the
<a href="#">Terms of Service</a>
</label>
<label class="honor-code">
<input name="honor-code" type="checkbox">
I agree to the
<a href="#">Honor Code</a>
, sumarized below as:
</label>
<div class="honor-code-summary">
<ul>
<li>
<p>Complete all mid-terms and final exams with only my own work.</p>
</li>
<li>
<p>Maintain only one account, and not share the username or password.</p>
</li>
<li>
<p>Not engage in any activity that would dishonestly improve my results, or improve or hurt those of others.</p>
</li>
<li>
<p>Not post answers to problems that are being used to assess student performance.</p>
</li>
</ul>
<hr>
</div>
<div class="submit">
<input name="submit" type="submit" value="Create My Account">
</div>
</form>
<section class="login-extra">
<p>
<span>Already have an account? <a href="#">Login.</a></span>
</p>
</section>
<div class="close-modal">
<div class="inner">
<p>✕</p>
</div>
</div>
</div>
</section>