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<h4>Register your interest in the Sussex MBA</h4> <form class="style1 wcmform" action="#" method="post" id="fD24B8E51-F898-ED55-CCE2-FD1EBA71FCCE"> <input type="hidden" name="csrf_token" value="MTQ0MTk4MzA5MWNkYWYxYTQzY2E1MTE2ZTNmZWFlYjEyZjJjOGI3MTk3MmEwOWRhYjQ0ZDg2ZmNmMmNiYjNiOWI0ODk2OWI0NzNkMDUzNDVmMjQyZjYzODYy" /> <input type="hidden" name="form" value="D24B8E51-F898-ED55-CCE2-FD1EBA71FCCE" /> <fieldset><dl><dt><label class="required" for="bo7WTaMOX8">First name</label></dt><dd><input type="text" name="bo7WTaMOX8" id="bo7WTaMOX8" required="required" /></dd><dt><label class="required" for="pPTKZYS7A7">Surname</label></dt><dd><input type="text" name="pPTKZYS7A7" id="pPTKZYS7A7" required="required" /></dd><dt><label class="required" for="q0woQCmgpX">Email address</label></dt><dd><input type="email" name="q0woQCmgpX" id="q0woQCmgpX" required="required" /></dd><dt><label class="required" for="VsQHmJ2j1S">Telephone number</label></dt><dd><input type="text" name="VsQHmJ2j1S" id="VsQHmJ2j1S" required="required" /></dd><dt><label class="required" for="KHJjhWxRwh">Address</label></dt><dd><div class="description">Please enter your preferred correspondence address</div><dl class="elementGroupContainer"><dt>House/street</dt><dd><input type="text" name="KHJjhWxRwh[address1]" required="required" /></dd> <dt> </dt><dd><input type="text" name="KHJjhWxRwh[address2]" /></dd> <dt>Town/city</dt><dd><input type="text" name="KHJjhWxRwh[town]" required="required" /></dd> <dt>County/State</dt><dd><input type="text" name="KHJjhWxRwh[county]" required="required" /></dd> <dt>Postcode/Zipcode</dt><dd><input type="text" name="KHJjhWxRwh[postcode]" style="width: 8em; min-width: inherit !important;" required="required" /></dd> <dt>Country</dt><dd><select name="KHJjhWxRwh[country]" required="required"><option value="">Please select</option><option value="Afghanistan">Afghanistan</option><option value="Åland Islands">Åland Islands</option><option value="Albania">Albania</option><option value="Algeria">Algeria</option><option value="American Samoa">American Samoa</option><option value="Andorra">Andorra</option><option value="Angola">Angola</option><option value="Anguilla">Anguilla</option><option value="Antarctica">Antarctica</option><option value="Antigua and Barbuda">Antigua and Barbuda</option><option value="Argentina">Argentina</option><option value="Armenia">Armenia</option><option value="Aruba">Aruba</option><option value="Australia">Australia</option><option value="Austria">Austria</option><option value="Azerbaijan">Azerbaijan</option><option value="Bahamas">Bahamas</option><option value="Bahrain">Bahrain</option><option value="Bangladesh">Bangladesh</option><option value="Barbados">Barbados</option><option value="Belarus">Belarus</option><option value="Belgium">Belgium</option><option value="Belize">Belize</option><option value="Benin">Benin</option><option value="Bermuda">Bermuda</option><option value="Bhutan">Bhutan</option><option value="Bolivia, Plurinational State of">Bolivia, Plurinational State of</option><option value="Bonaire, Sint Eustatius and Saba">Bonaire, Sint Eustatius and Saba</option><option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option><option value="Botswana">Botswana</option><option value="Bouvet Island">Bouvet Island</option><option value="Brazil">Brazil</option><option value="British Indian Ocean Territory">British Indian Ocean Territory</option><option value="Brunei Darussalam">Brunei Darussalam</option><option value="Bulgaria">Bulgaria</option><option value="Burkina Faso">Burkina Faso</option><option value="Burundi">Burundi</option><option value="Cambodia">Cambodia</option><option value="Cameroon">Cameroon</option><option value="Canada">Canada</option><option value="Cabo Verde">Cabo Verde</option><option value="Cayman Islands">Cayman Islands</option><option value="Central African Republic">Central African Republic</option><option value="Chad">Chad</option><option value="Chile">Chile</option><option value="China">China</option><option value="Christmas Island">Christmas Island</option><option value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option><option value="Colombia">Colombia</option><option value="Comoros">Comoros</option><option value="Congo">Congo</option><option value="Congo, the Democratic Republic of the">Congo, the Democratic Republic of the</option><option value="Cook Islands">Cook Islands</option><option value="Costa Rica">Costa Rica</option><option value="Côte d'Ivoire">Côte d'Ivoire</option><option value="Croatia">Croatia</option><option value="Cuba">Cuba</option><option value="Curaçao">Curaçao</option><option value="Cyprus">Cyprus</option><option value="Czech Republic">Czech Republic</option><option value="Denmark">Denmark</option><option value="Djibouti">Djibouti</option><option value="Dominica">Dominica</option><option value="Dominican Republic">Dominican Republic</option><option value="Ecuador">Ecuador</option><option value="Egypt">Egypt</option><option value="El Salvador">El Salvador</option><option value="Equatorial Guinea">Equatorial Guinea</option><option value="Eritrea">Eritrea</option><option value="Estonia">Estonia</option><option value="Ethiopia">Ethiopia</option><option value="Falkland Islands (Malvinas)">Falkland Islands (Malvinas)</option><option value="Faroe Islands">Faroe Islands</option><option value="Fiji">Fiji</option><option value="Finland">Finland</option><option value="France">France</option><option value="French Guiana">French Guiana</option><option value="French Polynesia">French Polynesia</option><option value="French Southern Territories">French Southern Territories</option><option value="Gabon">Gabon</option><option value="Gambia">Gambia</option><option value="Georgia">Georgia</option><option value="Germany">Germany</option><option value="Ghana">Ghana</option><option value="Gibraltar">Gibraltar</option><option value="Greece">Greece</option><option value="Greenland">Greenland</option><option value="Grenada">Grenada</option><option value="Guadeloupe">Guadeloupe</option><option value="Guam">Guam</option><option value="Guatemala">Guatemala</option><option value="Guernsey">Guernsey</option><option value="Guinea">Guinea</option><option value="Guinea-Bissau">Guinea-Bissau</option><option value="Guyana">Guyana</option><option value="Haiti">Haiti</option><option value="Heard Island and McDonald Islands">Heard Island and McDonald Islands</option><option value="Holy See (Vatican City State)">Holy See (Vatican City State)</option><option value="Honduras">Honduras</option><option value="Hong Kong">Hong Kong</option><option value="Hungary">Hungary</option><option value="Iceland">Iceland</option><option value="India">India</option><option value="Indonesia">Indonesia</option><option value="Iran, Islamic Republic of">Iran, Islamic Republic of</option><option value="Iraq">Iraq</option><option value="Ireland">Ireland</option><option value="Isle of Man">Isle of Man</option><option value="Israel">Israel</option><option value="Italy">Italy</option><option value="Jamaica">Jamaica</option><option value="Japan">Japan</option><option value="Jersey">Jersey</option><option value="Jordan">Jordan</option><option value="Kazakhstan">Kazakhstan</option><option value="Kenya">Kenya</option><option value="Kiribati">Kiribati</option><option value="Korea, Democratic People's Republic of">Korea, Democratic People's Republic of</option><option value="Korea, Republic of">Korea, Republic of</option><option value="Kuwait">Kuwait</option><option value="Kyrgyzstan">Kyrgyzstan</option><option value="Lao People's Democratic Republic">Lao People's Democratic Republic</option><option value="Latvia">Latvia</option><option value="Lebanon">Lebanon</option><option value="Lesotho">Lesotho</option><option value="Liberia">Liberia</option><option value="Libya">Libya</option><option value="Liechtenstein">Liechtenstein</option><option value="Lithuania">Lithuania</option><option value="Luxembourg">Luxembourg</option><option value="Macao">Macao</option><option value="Macedonia, the former Yugoslav Republic of">Macedonia, the former Yugoslav Republic of</option><option value="Madagascar">Madagascar</option><option value="Malawi">Malawi</option><option value="Malaysia">Malaysia</option><option value="Maldives">Maldives</option><option value="Mali">Mali</option><option value="Malta">Malta</option><option value="Marshall Islands">Marshall Islands</option><option value="Martinique">Martinique</option><option value="Mauritania">Mauritania</option><option value="Mauritius">Mauritius</option><option value="Mayotte">Mayotte</option><option value="Mexico">Mexico</option><option value="Micronesia, Federated States of">Micronesia, Federated States of</option><option value="Moldova, Republic of">Moldova, Republic of</option><option value="Monaco">Monaco</option><option value="Mongolia">Mongolia</option><option value="Montenegro">Montenegro</option><option value="Montserrat">Montserrat</option><option value="Morocco">Morocco</option><option value="Mozambique">Mozambique</option><option value="Myanmar">Myanmar</option><option value="Namibia">Namibia</option><option value="Nauru">Nauru</option><option value="Nepal">Nepal</option><option value="Netherlands">Netherlands</option><option value="New Caledonia">New Caledonia</option><option value="New Zealand">New Zealand</option><option value="Nicaragua">Nicaragua</option><option value="Niger">Niger</option><option value="Nigeria">Nigeria</option><option value="Niue">Niue</option><option value="Norfolk Island">Norfolk Island</option><option value="Northern Mariana Islands">Northern Mariana Islands</option><option value="Norway">Norway</option><option value="Oman">Oman</option><option value="Pakistan">Pakistan</option><option value="Palau">Palau</option><option value="Palestine, State of">Palestine, State of</option><option value="Panama">Panama</option><option value="Papua New Guinea">Papua New Guinea</option><option value="Paraguay">Paraguay</option><option value="Peru">Peru</option><option value="Philippines">Philippines</option><option value="Pitcairn">Pitcairn</option><option value="Poland">Poland</option><option value="Portugal">Portugal</option><option value="Puerto Rico">Puerto Rico</option><option value="Qatar">Qatar</option><option value="Réunion">Réunion</option><option value="Romania">Romania</option><option value="Russian Federation">Russian Federation</option><option value="Rwanda">Rwanda</option><option value="Saint Barthélemy">Saint Barthélemy</option><option value="Saint Helena, Ascension and Tristan da Cunha">Saint Helena, Ascension and Tristan da Cunha</option><option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option><option value="Saint Lucia">Saint Lucia</option><option value="Saint Martin (French part)">Saint Martin (French part)</option><option value="Saint Pierre and Miquelon">Saint Pierre and Miquelon</option><option value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option><option value="Samoa">Samoa</option><option value="San Marino">San Marino</option><option value="Sao Tome and Principe">Sao Tome and Principe</option><option value="Saudi Arabia">Saudi Arabia</option><option value="Senegal">Senegal</option><option value="Serbia">Serbia</option><option value="Seychelles">Seychelles</option><option value="Sierra Leone">Sierra Leone</option><option value="Singapore">Singapore</option><option value="Sint Maarten (Dutch part)">Sint Maarten (Dutch part)</option><option value="Slovakia">Slovakia</option><option value="Slovenia">Slovenia</option><option value="Solomon Islands">Solomon Islands</option><option value="Somalia">Somalia</option><option value="South Africa">South Africa</option><option value="South Georgia and the South Sandwich Islands">South Georgia and the South Sandwich Islands</option><option value="South Sudan">South Sudan</option><option value="Spain">Spain</option><option value="Sri Lanka">Sri Lanka</option><option value="Sudan">Sudan</option><option value="Suriname">Suriname</option><option value="Svalbard and Jan Mayen">Svalbard and Jan Mayen</option><option value="Swaziland">Swaziland</option><option value="Sweden">Sweden</option><option value="Switzerland">Switzerland</option><option value="Syrian Arab Republic">Syrian Arab Republic</option><option value="Taiwan, Province of China">Taiwan, Province of China</option><option value="Tajikistan">Tajikistan</option><option value="Tanzania, United Republic of">Tanzania, United Republic of</option><option value="Thailand">Thailand</option><option value="Timor-Leste">Timor-Leste</option><option value="Togo">Togo</option><option value="Tokelau">Tokelau</option><option value="Tonga">Tonga</option><option value="Trinidad and Tobago">Trinidad and Tobago</option><option value="Tunisia">Tunisia</option><option value="Turkey">Turkey</option><option value="Turkmenistan">Turkmenistan</option><option value="Turks and Caicos Islands">Turks and Caicos Islands</option><option value="Tuvalu">Tuvalu</option><option value="Uganda">Uganda</option><option value="Ukraine">Ukraine</option><option value="United Arab Emirates">United Arab Emirates</option><option value="United Kingdom">United Kingdom</option><option value="United States">United States</option><option value="United States Minor Outlying Islands">United States Minor Outlying Islands</option><option value="Uruguay">Uruguay</option><option value="Uzbekistan">Uzbekistan</option><option value="Vanuatu">Vanuatu</option><option value="Venezuela, Bolivarian Republic of">Venezuela, Bolivarian Republic of</option><option value="Viet Nam">Viet Nam</option><option value="Virgin Islands, British">Virgin Islands, British</option><option value="Virgin Islands, U.S.">Virgin Islands, U.S.</option><option value="Wallis and Futuna">Wallis and Futuna</option><option value="Western Sahara">Western Sahara</option><option value="Yemen">Yemen</option><option value="Zambia">Zambia</option><option value="Zimbabwe">Zimbabwe</option></select></dd></dl></dd><dt><label class="required" for="ILvDfUP1cY">Current employer</label></dt><dd><input type="text" name="ILvDfUP1cY" id="ILvDfUP1cY" required="required" /></dd><dt><label class="required">Funding</label></dt><dd><div class="description">Please tell us how you would fund your studies if offered a place on the Sussex MBA</div><label><input name="3DTNJy4GAu" type="radio" required="required" value="Self funded" /> Self funded</label><br /><label><input name="3DTNJy4GAu" type="radio" required="required" value="Employer funded" /> Employer funded</label><br /><label><input name="3DTNJy4GAu" type="radio" required="required" value="3DTNJy4GAu_other" /> <input type="text" name="3DTNJy4GAu_other" class="includeother" value="" /> Other, please specify</label><br /></dd><dt><label class="" for="DgfPqp4VCq">How did you hear about the Sussex MBA?</label></dt><dd><input type="text" name="DgfPqp4VCq" id="DgfPqp4VCq" /></dd></dl></fieldset> <input class="button" type="submit" value="Submit" /> </form> <script type="text/javascript"> $(function(){ var useUI = (function(){ var i = document.createElement('input'); i.setAttribute('type', 'date'); return (i.type == 'text'); })(); $(document).on('focusin', 'input[data-ui=date]', function(){ if (useUI) { $(this).datepicker({ changeMonth: true, changeYear: true, dateFormat: 'yy-mm-dd' }); } }); $('#fD24B8E51-F898-ED55-CCE2-FD1EBA71FCCE input[type=submit]').click(function(){ var invalid; try { invalid = $('#fD24B8E51-F898-ED55-CCE2-FD1EBA71FCCE :invalid'); } catch (e) { invalid = $('#fD24B8E51-F898-ED55-CCE2-FD1EBA71FCCE [invalid]'); } if (invalid.length) { $('#fD24B8E51-F898-ED55-CCE2-FD1EBA71FCCE').addClass('dirty'); } }); $('#fD24B8E51-F898-ED55-CCE2-FD1EBA71FCCE input.includeother').focus(function(){ 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