my.ciee.org Open in urlscan Pro
198.168.31.64  Public Scan

Submitted URL: http://my.ciee.org/
Effective URL: https://my.ciee.org/login?ReturnUrl=%2f
Submission: On February 19 via api from US — Scanned from DE

Form analysis 2 forms found in the DOM

Name: myForm

<form name="myForm" data-ng-controller="LoginCtrl" data-ng-submit="logInOrSignUp()" novalidate=""
  class="ng-scope ng-valid-max-length ng-valid-required-to-save ng-valid-email ng-invalid ng-invalid-regular-expression ng-valid-required-to-submit ng-valid-parse ng-dirty" data-gtm-vis-recent-on-screen6131777_207="168"
  data-gtm-vis-first-on-screen6131777_207="169" data-gtm-vis-total-visible-time6131777_207="100" data-gtm-vis-has-fired6131777_207="1">
  <div class="contentWrap" style="padding-top: 67px;">
    <div class="globalnavbar-sticky-wrapper">
      <div class="globalnavbar">
        <div class="container">
          <nav class="navbar navbar-global" role="navigation">
            <ul class="nav navbar-nav">
              <li id="homeLink"><a data-ng-href="">Home</a></li>
            </ul>
          </nav>
        </div>
      </div>
    </div>
    <div class="container">
      <div data-ng-show="!showSignup">
        <div ng-show="referralCode" class="row email-campaign-welcome-section ng-hide">
          <div class="col-md-6">
            <h3>Congratulations, You've been referred!</h3>
            <div class="email-campaign-welcome-text">
              <div ng-bind-html="campaignWelcome.WelcomeText" class="ng-binding"></div>
            </div>
          </div>
          <!-- ngIf: campaignWelcome.WelcomePageImageUrl -->
        </div>
        <div class="row" style="padding-bottom: 150px; padding-top: 35px">
          <div class="col-md-5">
            <h1>I am a returning user</h1>
            <!-- Email -->
            <div class="form-group">
              <div class="row">
                <div class="col-xs-11">
                  <label for="loginEmail" class="sr-only">Email Address</label>
                  <input class="form-control ng-pristine ng-untouched ng-valid ng-empty" id="loginEmail" type="text" placeholder="Email" data-ng-model="loginModel.emailAddress">
                </div>
                <div class="col-xs-1 noGutterL">
                  <span style="color:red; font-size: 22px">*</span>
                </div>
              </div>
            </div>
            <!-- Password -->
            <div class="form-group">
              <div class="row">
                <div class="col-xs-11">
                  <label for="loginPassword" class="sr-only">Password</label>
                  <input class="form-control ng-pristine ng-untouched ng-valid ng-empty" id="loginPassword" type="password" placeholder="Password" data-ng-model="loginModel.password">
                </div>
                <div class="col-xs-1 noGutterL">
                  <span style="color:red; font-size: 22px">*</span>
                </div>
              </div>
            </div>
            <!-- Remember Me & Forgot Password -->
            <div class="form-group">
              <div class="row">
                <div class="col-xs-12 noPadding">
                  <div class="metroCheckBox col-sm-6 col-md-12">
                    <input id="loginRememberMe" type="checkbox" data-ng-model="loginModel.rememberMe" class="ng-pristine ng-untouched ng-valid ng-empty">
                    <label for="loginRememberMe">Remember me for 30 days</label>
                  </div>
                  <div class="col-xs-12">
                    <a href="/passwordreset">Forgot your password?</a>
                  </div>
                </div>
                <div class="col-xs-12" style="margin-top: 12px;">
                  <div class="row">
                    <div class="col-xs-12">
                      <button type="submit" class="btn btn-primary btn-lg col-xs-4" id="LoginSubmit">Log In</button>
                    </div>
                  </div>
                </div>
              </div>
            </div>
          </div>
          <div class="col-md-5 col-md-offset-1">
            <h1>I am a new user</h1>
            <p class="ng-binding">Sign up to work on applications for CIEE programs and receive e-mail updates.</p>
            <div ng-switch="" on="passedInProgramType">
              <!-- ngSwitchWhen: true -->
              <!-- ngSwitchDefault: -->
              <div ng-switch-default="" class="ng-scope">
                <ul class="loginList" style="list-style-type: none;">
                  <!-- ngRepeat: programType in programTypes -->
                  <li ng-repeat="programType in programTypes" class="ng-scope">
                    <div data-ng-show="programType.ShowInProgramSelector" class="ng-hide">
                      <i class="fas fa-chevron-right"></i>
                      <a ng-click="toggleShowSignup(programType.ProgramTypeId, true)" name="an A program type that allows us to collect host family applications, initially for High School Summer Abroad." class="ng-binding">Create an A program type that allows us to collect host family applications, initially for High School Summer Abroad. account</a>
                    </div>
                  </li><!-- end ngRepeat: programType in programTypes -->
                  <li ng-repeat="programType in programTypes" class="ng-scope">
                    <div data-ng-show="programType.ShowInProgramSelector" class="ng-hide">
                      <i class="fas fa-chevron-right"></i>
                      <a ng-click="toggleShowSignup(programType.ProgramTypeId, true)" name="an AIC" class="ng-binding">Create an AIC account</a>
                    </div>
                  </li><!-- end ngRepeat: programType in programTypes -->
                  <li ng-repeat="programType in programTypes" class="ng-scope">
                    <div data-ng-show="programType.ShowInProgramSelector">
                      <i class="fas fa-chevron-right"></i>
                      <a ng-click="toggleShowSignup(programType.ProgramTypeId, true)" name="a College Study Abroad" class="ng-binding">Create a College Study Abroad account</a>
                    </div>
                  </li><!-- end ngRepeat: programType in programTypes -->
                  <li ng-repeat="programType in programTypes" class="ng-scope">
                    <div data-ng-show="programType.ShowInProgramSelector" class="ng-hide">
                      <i class="fas fa-chevron-right"></i>
                      <a ng-click="toggleShowSignup(programType.ProgramTypeId, true)" name="a Custom and Faculty Led" class="ng-binding">Create a Custom and Faculty Led account</a>
                    </div>
                  </li><!-- end ngRepeat: programType in programTypes -->
                  <li ng-repeat="programType in programTypes" class="ng-scope">
                    <div data-ng-show="programType.ShowInProgramSelector" class="ng-hide">
                      <i class="fas fa-chevron-right"></i>
                      <a ng-click="toggleShowSignup(programType.ProgramTypeId, true)" name="an Entrepreneur Lab by CIEE" class="ng-binding">Create an Entrepreneur Lab by CIEE account</a>
                    </div>
                  </li><!-- end ngRepeat: programType in programTypes -->
                  <li ng-repeat="programType in programTypes" class="ng-scope">
                    <div data-ng-show="programType.ShowInProgramSelector">
                      <i class="fas fa-chevron-right"></i>
                      <a ng-click="toggleShowSignup(programType.ProgramTypeId, true)" name="a First Year Abroad" class="ng-binding">Create a First Year Abroad account</a>
                    </div>
                  </li><!-- end ngRepeat: programType in programTypes -->
                  <li ng-repeat="programType in programTypes" class="ng-scope">
                    <div data-ng-show="programType.ShowInProgramSelector">
                      <i class="fas fa-chevron-right"></i>
                      <a ng-click="toggleShowSignup(programType.ProgramTypeId, true)" name="a Gap Year Abroad" class="ng-binding">Create a Gap Year Abroad account</a>
                    </div>
                  </li><!-- end ngRepeat: programType in programTypes -->
                  <li ng-repeat="programType in programTypes" class="ng-scope">
                    <div data-ng-show="programType.ShowInProgramSelector" class="ng-hide">
                      <i class="fas fa-chevron-right"></i>
                      <a ng-click="toggleShowSignup(programType.ProgramTypeId, true)" name="a Global Navigator Custom" class="ng-binding">Create a Global Navigator Custom account</a>
                    </div>
                  </li><!-- end ngRepeat: programType in programTypes -->
                  <li ng-repeat="programType in programTypes" class="ng-scope">
                    <div data-ng-show="programType.ShowInProgramSelector" class="ng-hide">
                      <i class="fas fa-chevron-right"></i>
                      <a ng-click="toggleShowSignup(programType.ProgramTypeId, true)" name="a Global Seminar" class="ng-binding">Create a Global Seminar account</a>
                    </div>
                  </li><!-- end ngRepeat: programType in programTypes -->
                  <li ng-repeat="programType in programTypes" class="ng-scope">
                    <div data-ng-show="programType.ShowInProgramSelector">
                      <i class="fas fa-chevron-right"></i>
                      <a ng-click="toggleShowSignup(programType.ProgramTypeId, true)" name="a High School Semester Abroad" class="ng-binding">Create a High School Semester Abroad account</a>
                    </div>
                  </li><!-- end ngRepeat: programType in programTypes -->
                  <li ng-repeat="programType in programTypes" class="ng-scope">
                    <div data-ng-show="programType.ShowInProgramSelector">
                      <i class="fas fa-chevron-right"></i>
                      <a ng-click="toggleShowSignup(programType.ProgramTypeId, true)" name="a High School Summer Abroad" class="ng-binding">Create a High School Summer Abroad account</a>
                    </div>
                  </li><!-- end ngRepeat: programType in programTypes -->
                  <li ng-repeat="programType in programTypes" class="ng-scope">
                    <div data-ng-show="programType.ShowInProgramSelector" class="ng-hide">
                      <i class="fas fa-chevron-right"></i>
                      <a ng-click="toggleShowSignup(programType.ProgramTypeId, true)" name="a HSSA Program Leader" class="ng-binding">Create a HSSA Program Leader account</a>
                    </div>
                  </li><!-- end ngRepeat: programType in programTypes -->
                  <li ng-repeat="programType in programTypes" class="ng-scope">
                    <div data-ng-show="programType.ShowInProgramSelector">
                      <i class="fas fa-chevron-right"></i>
                      <a ng-click="toggleShowSignup(programType.ProgramTypeId, true)" name="a Teach English Abroad" class="ng-binding">Create a Teach English Abroad account</a>
                    </div>
                  </li><!-- end ngRepeat: programType in programTypes -->
                  <li ng-repeat="programType in programTypes" class="ng-scope">
                    <div data-ng-show="programType.ShowInProgramSelector">
                      <i class="fas fa-chevron-right"></i>
                      <a ng-click="toggleShowSignup(programType.ProgramTypeId, true)" name="a TEFL Certification" class="ng-binding">Create a TEFL Certification account</a>
                    </div>
                  </li><!-- end ngRepeat: programType in programTypes -->
                  <!-- ngIf: programTypesLoaded -->
                  <li ng-if="programTypesLoaded" class="ng-scope"><i class="fas fa-chevron-right"></i><a href="https://beacon.ciee.org/hostFamilyRegister">Create a High School USA Host Family account</a></li><!-- end ngIf: programTypesLoaded -->
                  <!-- ngIf: programTypesLoaded -->
                  <li ng-if="programTypesLoaded" class="ng-scope"><i class="fas fa-chevron-right"></i><a href="https://beacon.ciee.org/localCoordinatorRegister">Create a High School USA Local Coordinator account</a></li>
                  <!-- end ngIf: programTypesLoaded -->
                </ul>
              </div><!-- end ngSwitchWhen: -->
            </div>
          </div>
        </div>
      </div>
      <div ng-show="showSignup" class="ng-hide">
        <h2>Sign Up</h2>
        <p ng-bind-html="introText" class="ng-binding"></p>
        <p>Already have an account?<a ng-click="toggleShowSignup(programTypeId, false)"> Log In</a></p>
        <div class="col-md-6">
          <!-- First Name -->
          <div class="form-group">
            <label class="control-label" for="firstName">First Name:</label>
            <input type="text" placeholder="Jane" name="firstName" id="firstName" class="form-control ng-pristine ng-untouched ng-valid ng-valid-max-length ng-empty ng-valid-required-to-save" data-ng-model="signUpModel.FirstName"
              data-ciee-required-to-save="showSignup" data-ciee-validate="true" data-ciee-val-max-length="50">
            <span ng-show="firstName.hasHadFocus &amp;&amp; myForm.firstName.$error.requiredToSave" name="First name is required" class="help-block ng-hide"> First name is required.</span>
            <span ng-show="firstName.hasHadFocus &amp;&amp; myForm.firstName.$error.maxLength" name="Maximum length is 50" class="help-block ng-hide">Maximum length is 50.</span>
          </div>
          <!-- Last Name -->
          <div class="form-group" "="">
                        <label class=" control-label" for="lastName">Last Name:</label>
            <input type="text" placeholder="Doe" name="lastName" id="lastName" class="form-control ng-pristine ng-untouched ng-valid ng-valid-max-length ng-empty ng-valid-required-to-save" data-ng-model="signUpModel.LastName"
              data-ciee-required-to-save="showSignup" data-ciee-validate="true" data-ciee-val-max-length="50">
            <span ng-show="lastName.hasHadFocus &amp;&amp; myForm.lastName.$error.requiredToSave" name="Last name is required" class="help-block ng-hide"> Last name is required.</span>
            <span ng-show="lastName.hasHadFocus &amp;&amp; myForm.lastName.$error.maxLength" name="Maximum length is 50" class="help-block ng-hide">Maximum length is 50.</span>
          </div>
          <!-- Email -->
          <div class="form-group">
            <label class="control-label">Email:</label>
            <input class="form-control ng-pristine ng-untouched ng-valid-max-length ng-empty ng-valid-email ng-invalid ng-invalid-regular-expression ng-valid-required-to-save" type="email" placeholder="jane.doe@example.com" name="email"
              ng-change="checkEmailMatch()" data-ng-model="signUpModel.Email" data-ciee-required-to-save="showSignup" data-ciee-validate="true" data-ciee-val-regular-expression="emailRegEx" data-ciee-val-max-length="256">
            <span name="Email is required" class="help-block ng-hide" data-ng-show="myForm.email.$error.requiredToSave &amp;&amp; email.hasHadFocus"> Email is required.</span>
            <span name="Invalid email address format" class="help-block ng-hide" data-ng-show="(myForm.email.$error.email || myForm.email.$error.regularExpression) &amp;&amp; myForm.email.$dirty">Invalid email address format.</span>
            <span ng-show="email.hasHadFocus &amp;&amp; myForm.email.$error.maxLength" name="Maximum length is 256" class="help-block ng-hide">Maximum length is 256.</span>
          </div>
          <!-- Email Confirmation -->
          <!-- ngIf: [106,107,108,115].indexOf(programTypeId) != -1 -->
          <!-- Phone -->
          <div class="form-group">
            <label class="control-label">Mobile Phone:</label>
            <input class="form-control ng-pristine ng-untouched ng-valid ng-valid-max-length ng-valid-regular-expression ng-empty ng-valid-required-to-save" type="text" placeholder="555-555-5555" data-ciee-val-regular-expression="phoneRegEx"
              name="phone" data-ciee-validate="true" data-ciee-required-to-save="showSignup &amp;&amp; requireMobilePhone" data-ng-model="signUpModel.Address.MobilePhone" data-ciee-val-max-length="25">
            <span ng-show="phone.hasHadFocus &amp;&amp; myForm.phone.$error.maxLength" name="Maximum length is 25" class="help-block ng-hide">Maximum length is 25.</span>
            <span ng-show="myForm.phone.$error.requiredToSave &amp;&amp; phone.hasHadFocus &amp;&amp; requireMobilePhone" name="Mobile Phone is required" class="help-block ng-hide"> Mobile Phone is required.</span>
            <span name="Invalid phone format" class="help-block ng-hide" data-ng-show="(myForm.phone.$error.phone || myForm.phone.$error.regularExpression) &amp;&amp; myForm.phone.$dirty">Invalid phone number format.</span>
          </div>
          <!-- Country  -->
          <!-- ngIf: programTypeId == 114 -->
          <!--"'School'"-->
          <!-- Institution Selector: hide for TCH, TEFL, IFDS -->
          <div class="form-group ng-hide" data-ng-show="!signUpModel.NotCurrentlyEnrolled &amp;&amp; showInstitutionSelector">
            <div class="ng-isolate-scope" ciee-institution-selector="" data-allow-write-in="signUpModel.allowWriteIn" data-institution="signUpModel.Institution" data-new-institution-type-id="4" data-is-read-only="false"
              data-required-to-save="showInstitutionSelector &amp;&amp; showSignup &amp;&amp; !signUpModel.NotCurrentlyEnrolled" data-label="labelForInstitution" data-default-org="signUpModel.defaultOrg" data-input-label="labelForSelectInstitution"
              data-remove-md-7="true" data-program-type-id="programTypeId" id="ddlInstitutionSelector">
              <div class="form-group">
                <label class="control-label ng-binding" for="s2id_autogen3"></label>
                <div class="row">
                  <div class="col-xs-12" ng-class="{'col-md-7': !removeMd7}">
                    <div class="select2-container col-xs-12 noPadding ng-pristine ng-untouched ng-valid ng-not-empty ng-valid-required-to-submit ng-valid-required-to-save" id="s2id_selInstitution">
                      <a href="javascript:void(0)" onclick="return false;" class="select2-choice" tabindex="-1">   <span></span><abbr class="select2-search-choice-close" style="display:none;"></abbr>   <div><b class="fas fa-chevron-down"></b></div></a><input
                        class="select2-focusser select2-offscreen" type="text" id="s2id_autogen3">
                      <div class="select2-drop select2-with-searchbox" style="display:none">
                        <div class="select2-search"> <input type="text" autocomplete="off" class="select2-input"> </div>
                        <ul class="select2-results"> </ul>
                      </div>
                    </div><input class="col-xs-12 noPadding ng-pristine ng-untouched ng-valid ng-valid-required-to-submit ng-valid-required-to-save select2-offscreen ng-empty" id="selInstitution" name="selInstitution" data-placeholder=""
                      type="hidden" data-ciee-select2="institutionMultiOptions" data-ng-model="institution" data-ng-disabled="isReadOnly" data-ciee-required-to-save="requiredToSave" data-ciee-required-to-submit="requiredToSubmit"
                      ng-change="setShowWriteIn()" autocomplete="off" value="" tabindex="-1">
                  </div>
                  <div class="col-xs-12 col-md-5 ng-hide" data-ng-show="(institutionSelectorForm.selInstitution.$error.requiredToSave || 
                    institutionSelectorForm.selInstitution.$error.requiredToSubmit || institutionSelectorForm.txtInstitutionId.$error.minValue) &amp;&amp; selInstitution.hasHadFocus">
                    <span data-ng-show="'AEIOUaeiou'.indexOf(label.charAt(0)) > 0" name="An  is required" class="help-block ng-binding ng-hide">An is required.</span>
                    <span data-ng-show="'AEIOUaeiou'.indexOf(label.charAt(0)) <= 0" name="A  is required" class="help-block ng-binding">A is required.</span>
                  </div>
                </div>
              </div>
              <div class="panel-highered ng-hide" ng-show="showWriteIn || showAltWriteIn">
                <form name="writeInInstitution" class="ng-valid ng-valid-required-to-save ng-valid-parse ng-dirty">
                  <div class="form-group">
                    <label class="control-label ng-binding" for="selInstitutionCountry"> Country</label>
                    <div class="row">
                      <div class="col-md-6 col-xs-12">
                        <div class="select2-container col-xs-12 noPadding ng-untouched ng-valid ng-empty ng-valid-required-to-save ng-valid-parse ng-pristine" id="s2id_autogen4">
                          <a href="javascript:void(0)" onclick="return false;" class="select2-choice" tabindex="-1">   <span></span><abbr class="select2-search-choice-close" style="display:none;"></abbr>   <div><b class="fas fa-chevron-down"></b></div></a><input
                            class="select2-focusser select2-offscreen" type="text" id="s2id_autogen5">
                          <div class="select2-drop select2-with-searchbox" style="display:none">
                            <div class="select2-search"> <input type="text" autocomplete="off" class="select2-input"> </div>
                            <ul class="select2-results"> </ul>
                          </div>
                        </div><select ciee-select2="" name="selInstitutionCountry" data-ng-model="model.CountryId" data-ciee-required-to-save="showWriteIn || showAltWriteIn"
                          class="col-xs-12 noPadding ng-untouched ng-valid ng-empty ng-valid-required-to-save select2-offscreen ng-valid-parse ng-pristine" tabindex="-1">
                          <option value=""></option>
                          <!-- ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="1" class="ng-binding ng-scope">United States</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="2" class="ng-binding ng-scope">Canada</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="275" class="ng-binding ng-scope">Afghanistan</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="3" class="ng-binding ng-scope">Albania</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="4" class="ng-binding ng-scope">Algeria</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="5" class="ng-binding ng-scope">American Samoa</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="6" class="ng-binding ng-scope">Andorra</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="7" class="ng-binding ng-scope">Angola</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="8" class="ng-binding ng-scope">Anguilla</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="9" class="ng-binding ng-scope">Antigua and Barbuda</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="10" class="ng-binding ng-scope">Argentina</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="11" class="ng-binding ng-scope">Armenia</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="12" class="ng-binding ng-scope">Aruba</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="13" class="ng-binding ng-scope">Australia</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="14" class="ng-binding ng-scope">Austria</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="15" class="ng-binding ng-scope">Azerbaijan</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="16" class="ng-binding ng-scope">Azores</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="17" class="ng-binding ng-scope">Bahamas</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="18" class="ng-binding ng-scope">Bahrain</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="19" class="ng-binding ng-scope">Bangladesh</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="20" class="ng-binding ng-scope">Barbados</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="21" class="ng-binding ng-scope">Belarus</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="22" class="ng-binding ng-scope">Belgium</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="23" class="ng-binding ng-scope">Belize</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="24" class="ng-binding ng-scope">Benin</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="25" class="ng-binding ng-scope">Bermuda</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="26" class="ng-binding ng-scope">Bhutan</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="27" class="ng-binding ng-scope">Bolivia</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="28" class="ng-binding ng-scope">Bonaire</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="29" class="ng-binding ng-scope">Bosnia and Herzegovina</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="30" class="ng-binding ng-scope">Botswana</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="31" class="ng-binding ng-scope">Bouvet Island</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="32" class="ng-binding ng-scope">Brazil</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="33" class="ng-binding ng-scope">British Indian Ocean Territory</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="34" class="ng-binding ng-scope">Brunei Darussalam</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="35" class="ng-binding ng-scope">Bulgaria</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="36" class="ng-binding ng-scope">Burkina Faso</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="37" class="ng-binding ng-scope">Burundi</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="38" class="ng-binding ng-scope">Cambodia</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="39" class="ng-binding ng-scope">Cameroon</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="41" class="ng-binding ng-scope">Canary Islands</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="42" class="ng-binding ng-scope">Cape Verde</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="43" class="ng-binding ng-scope">Cayman Islands</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="44" class="ng-binding ng-scope">Central African Republic</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="45" class="ng-binding ng-scope">Chad</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="46" class="ng-binding ng-scope">Channel Islands</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="47" class="ng-binding ng-scope">Chile</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="48" class="ng-binding ng-scope">China</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="49" class="ng-binding ng-scope">Christmas Island</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="50" class="ng-binding ng-scope">Cocos (Keeling) Islands</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="51" class="ng-binding ng-scope">Colombia</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="52" class="ng-binding ng-scope">Comoros</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="53" class="ng-binding ng-scope">Congo (Democratic Republic of)</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="281" class="ng-binding ng-scope">Congo (Republic of)</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="54" class="ng-binding ng-scope">Cook Islands</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="55" class="ng-binding ng-scope">Costa Rica</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="56" class="ng-binding ng-scope">Cote D'Ivoire (Ivory Coast)</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="57" class="ng-binding ng-scope">Croatia (Hrvatska)</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="272" class="ng-binding ng-scope">Cuba</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="58" class="ng-binding ng-scope">Curacao</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="59" class="ng-binding ng-scope">Cyprus</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="60" class="ng-binding ng-scope">Czech Republic</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="61" class="ng-binding ng-scope">Denmark</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="62" class="ng-binding ng-scope">Djibouti</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="63" class="ng-binding ng-scope">Dominica</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="64" class="ng-binding ng-scope">Dominican Republic</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="65" class="ng-binding ng-scope">East Timor</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="66" class="ng-binding ng-scope">Ecuador</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="67" class="ng-binding ng-scope">Egypt</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="68" class="ng-binding ng-scope">El Salvador</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="69" class="ng-binding ng-scope">England</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="70" class="ng-binding ng-scope">Equatorial Guinea</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="71" class="ng-binding ng-scope">Eritrea</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="72" class="ng-binding ng-scope">Estonia</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="73" class="ng-binding ng-scope">Ethiopia</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="74" class="ng-binding ng-scope">Faeroe Islands</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="75" class="ng-binding ng-scope">Falkland Islands (Malvinas)</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="76" class="ng-binding ng-scope">Fiji</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="77" class="ng-binding ng-scope">Finland</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="78" class="ng-binding ng-scope">France</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="79" class="ng-binding ng-scope">French Guiana</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="80" class="ng-binding ng-scope">French Polynesia</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="81" class="ng-binding ng-scope">French Southern Territories</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="82" class="ng-binding ng-scope">Gabon</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="83" class="ng-binding ng-scope">Gambia</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="84" class="ng-binding ng-scope">Georgia</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="85" class="ng-binding ng-scope">Germany</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="86" class="ng-binding ng-scope">Ghana</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="87" class="ng-binding ng-scope">Gibraltar</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="88" class="ng-binding ng-scope">Great Britain (UK)</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="89" class="ng-binding ng-scope">Greece</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="90" class="ng-binding ng-scope">Greenland</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="91" class="ng-binding ng-scope">Grenada</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="92" class="ng-binding ng-scope">Guadeloupe</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="93" class="ng-binding ng-scope">Guam</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="94" class="ng-binding ng-scope">Guatemala</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="95" class="ng-binding ng-scope">Guinea</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="96" class="ng-binding ng-scope">Guinea-Bissau</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="97" class="ng-binding ng-scope">Guyana</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="98" class="ng-binding ng-scope">Haiti</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="99" class="ng-binding ng-scope">Heard Island and McDonald Islands</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="100" class="ng-binding ng-scope">Honduras</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="101" class="ng-binding ng-scope">Hong Kong</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="102" class="ng-binding ng-scope">Hungary</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="103" class="ng-binding ng-scope">Iceland</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="104" class="ng-binding ng-scope">India</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="105" class="ng-binding ng-scope">Indonesia</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="276" class="ng-binding ng-scope">Iran</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="277" class="ng-binding ng-scope">Iraq</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="106" class="ng-binding ng-scope">Ireland</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="107" class="ng-binding ng-scope">Israel</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="108" class="ng-binding ng-scope">Italy</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="109" class="ng-binding ng-scope">Jamaica</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="110" class="ng-binding ng-scope">Japan</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="111" class="ng-binding ng-scope">Jordan</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="112" class="ng-binding ng-scope">Kazakhstan</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="113" class="ng-binding ng-scope">Kenya</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="114" class="ng-binding ng-scope">Kiribati</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="278" class="ng-binding ng-scope">Korea</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="280" class="ng-binding ng-scope">Kosovo</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="115" class="ng-binding ng-scope">Kosrae</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="116" class="ng-binding ng-scope">Kuwait</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="117" class="ng-binding ng-scope">Kyrgyzstan</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="118" class="ng-binding ng-scope">Laos</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="119" class="ng-binding ng-scope">Latvia</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="120" class="ng-binding ng-scope">Lebanon</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="121" class="ng-binding ng-scope">Lesotho</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="122" class="ng-binding ng-scope">Liberia</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="123" class="ng-binding ng-scope">Libya</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="124" class="ng-binding ng-scope">Liechtenstein</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="125" class="ng-binding ng-scope">Lithuania</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="126" class="ng-binding ng-scope">Luxembourg</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="127" class="ng-binding ng-scope">Macau</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="128" class="ng-binding ng-scope">Macedonia</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="129" class="ng-binding ng-scope">Madagascar</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="130" class="ng-binding ng-scope">Madeira</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="131" class="ng-binding ng-scope">Malawi</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="132" class="ng-binding ng-scope">Malaysia</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="133" class="ng-binding ng-scope">Maldives</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="134" class="ng-binding ng-scope">Mali</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="135" class="ng-binding ng-scope">Malta</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="136" class="ng-binding ng-scope">Marshall Islands</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="137" class="ng-binding ng-scope">Martinique</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="138" class="ng-binding ng-scope">Mauritania</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="139" class="ng-binding ng-scope">Mauritius</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="140" class="ng-binding ng-scope">Mayotte</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="141" class="ng-binding ng-scope">Mexico</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="142" class="ng-binding ng-scope">Micronesia</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="143" class="ng-binding ng-scope">Moldova</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="144" class="ng-binding ng-scope">Monaco</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="145" class="ng-binding ng-scope">Mongolia</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="274" class="ng-binding ng-scope">Montenegro</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="146" class="ng-binding ng-scope">Montserrat</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="147" class="ng-binding ng-scope">Morocco</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="148" class="ng-binding ng-scope">Mozambique</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="149" class="ng-binding ng-scope">Myanmar</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="150" class="ng-binding ng-scope">Namibia</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="151" class="ng-binding ng-scope">Nauru</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="152" class="ng-binding ng-scope">Nepal</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="153" class="ng-binding ng-scope">Netherlands</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="154" class="ng-binding ng-scope">Netherlands Antilles</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="155" class="ng-binding ng-scope">Neutral Zone</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="156" class="ng-binding ng-scope">New Caledonia</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="157" class="ng-binding ng-scope">New Zealand (Aotearoa)</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="158" class="ng-binding ng-scope">Nicaragua</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="159" class="ng-binding ng-scope">Niger</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="160" class="ng-binding ng-scope">Nigeria</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="161" class="ng-binding ng-scope">Niue</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="162" class="ng-binding ng-scope">Norfolk Island</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="163" class="ng-binding ng-scope">North Korea</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="164" class="ng-binding ng-scope">Northern Ireland</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="165" class="ng-binding ng-scope">Northern Mariana Islands</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="166" class="ng-binding ng-scope">Norway</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="167" class="ng-binding ng-scope">Oman</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="282" class="ng-binding ng-scope">Online</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="168" class="ng-binding ng-scope">Pakistan</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="169" class="ng-binding ng-scope">Palau</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="170" class="ng-binding ng-scope">Panama</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="171" class="ng-binding ng-scope">Papua New Guinea</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="172" class="ng-binding ng-scope">Paraguay</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="173" class="ng-binding ng-scope">Peru</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="174" class="ng-binding ng-scope">Philippines</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="175" class="ng-binding ng-scope">Pitcairn</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="176" class="ng-binding ng-scope">Poland</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="177" class="ng-binding ng-scope">Ponape</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="178" class="ng-binding ng-scope">Portugal</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="179" class="ng-binding ng-scope">Puerto Rico</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="180" class="ng-binding ng-scope">Qatar</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="181" class="ng-binding ng-scope">Reunion</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="182" class="ng-binding ng-scope">Romania</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="183" class="ng-binding ng-scope">Rota</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="184" class="ng-binding ng-scope">Russia</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="185" class="ng-binding ng-scope">Rwanda</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="186" class="ng-binding ng-scope">Saba</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="187" class="ng-binding ng-scope">Saint Kitts and Nevis</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="188" class="ng-binding ng-scope">Saint Lucia</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="189" class="ng-binding ng-scope">Saint Vincent and the Grenadines</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="190" class="ng-binding ng-scope">Saipan</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="191" class="ng-binding ng-scope">Samoa</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="192" class="ng-binding ng-scope">San Marino</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="193" class="ng-binding ng-scope">Sao Tome and Principe</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="194" class="ng-binding ng-scope">Saudi Arabia</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="195" class="ng-binding ng-scope">Scotland</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="196" class="ng-binding ng-scope">Senegal</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="279" class="ng-binding ng-scope">Serbia</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="197" class="ng-binding ng-scope">Seychelles</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="198" class="ng-binding ng-scope">Sierra Leone</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="199" class="ng-binding ng-scope">Singapore</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="200" class="ng-binding ng-scope">Slovak Republic</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="201" class="ng-binding ng-scope">Slovenia</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="202" class="ng-binding ng-scope">Solomon Islands</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="203" class="ng-binding ng-scope">Somalia</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="204" class="ng-binding ng-scope">South Africa</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="205" class="ng-binding ng-scope">South Georgia and South Sandwich Islands.</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="206" class="ng-binding ng-scope">South Korea</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="284" class="ng-binding ng-scope">South Sudan</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="207" class="ng-binding ng-scope">Spain</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="208" class="ng-binding ng-scope">Sri Lanka</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="210" class="ng-binding ng-scope">St. Christopher</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="211" class="ng-binding ng-scope">St. Croix</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="212" class="ng-binding ng-scope">St. Eustatius</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="213" class="ng-binding ng-scope">St. Helena</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="214" class="ng-binding ng-scope">St. John</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="217" class="ng-binding ng-scope">St. Maarten</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="218" class="ng-binding ng-scope">St. Martin</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="219" class="ng-binding ng-scope">St. Pierre and Miquelon</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="220" class="ng-binding ng-scope">St. Thomas</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="222" class="ng-binding ng-scope">Sudan</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="223" class="ng-binding ng-scope">Suriname</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="224" class="ng-binding ng-scope">Svalbard and Jan Mayen Islands</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="225" class="ng-binding ng-scope">Swaziland</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="226" class="ng-binding ng-scope">Sweden</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="227" class="ng-binding ng-scope">Switzerland</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="228" class="ng-binding ng-scope">Syria</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="229" class="ng-binding ng-scope">Tahiti</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="230" class="ng-binding ng-scope">Taiwan</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="231" class="ng-binding ng-scope">Tajikistan</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="232" class="ng-binding ng-scope">Tanzania</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="233" class="ng-binding ng-scope">Thailand</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="234" class="ng-binding ng-scope">Tinian</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="235" class="ng-binding ng-scope">Togo</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="236" class="ng-binding ng-scope">Tokelau</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="237" class="ng-binding ng-scope">Tonga</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="238" class="ng-binding ng-scope">Tortola</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="239" class="ng-binding ng-scope">Trinidad and Tobago</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="240" class="ng-binding ng-scope">Truk</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="241" class="ng-binding ng-scope">Tunisia</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="242" class="ng-binding ng-scope">Turkey</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="243" class="ng-binding ng-scope">Turkmenistan</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="244" class="ng-binding ng-scope">Turks and Caicos Islands</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="245" class="ng-binding ng-scope">Tuvalu</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="246" class="ng-binding ng-scope">Uganda</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="247" class="ng-binding ng-scope">Ukraine</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="248" class="ng-binding ng-scope">Union Island</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="249" class="ng-binding ng-scope">United Arab Emirates</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="250" class="ng-binding ng-scope">United Kingdom</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="251" class="ng-binding ng-scope">Uruguay</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="252" class="ng-binding ng-scope">US Minor Outlying Islands</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="253" class="ng-binding ng-scope">USSR (former)</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="254" class="ng-binding ng-scope">Uzbekistan</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="255" class="ng-binding ng-scope">Vanuatu</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="256" class="ng-binding ng-scope">Vatican City State (Holy See)</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="257" class="ng-binding ng-scope">Venezuela</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="258" class="ng-binding ng-scope">Vietnam</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="259" class="ng-binding ng-scope">Virgin Gorda</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="260" class="ng-binding ng-scope">Virgin Islands (British)</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="262" class="ng-binding ng-scope">Wales</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="263" class="ng-binding ng-scope">Wallis and Futuna Islands</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="265" class="ng-binding ng-scope">Yap</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="266" class="ng-binding ng-scope">Yemen</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="267" class="ng-binding ng-scope">Yugoslavia</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="268" class="ng-binding ng-scope">Zaire</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="269" class="ng-binding ng-scope">Zambia</option><!-- end ngRepeat: country in countryList -->
                          <option ng-repeat="country in countryList" value="270" class="ng-binding ng-scope">Zimbabwe</option><!-- end ngRepeat: country in countryList -->
                        </select>
                      </div>
                      <div class="col-md-6 col-xs-12 ng-hide" ng-show="(getForm().selInstitutionCountry.$error.requiredToSave) &amp;&amp; selInstitutionCountry.hasHadFocus">
                        <span class="help-block ng-binding" name=" Country is required."> Country is required.</span>
                      </div>
                    </div>
                  </div>
                  <div class="form-group" data-ng-show="stateList.length > 0">
                    <label class="control-label ng-binding" for="selInstitutionState"> State</label>
                    <div class="row">
                      <div class="col-md-6 col-xs-12">
                        <div class="select2-container col-xs-12 noPadding ng-untouched ng-valid ng-empty ng-valid-required-to-save ng-dirty ng-valid-parse" id="s2id_autogen6">
                          <a href="javascript:void(0)" onclick="return false;" class="select2-choice" tabindex="-1">   <span></span><abbr class="select2-search-choice-close" style="display:none;"></abbr>   <div><b class="fas fa-chevron-down"></b></div></a><input
                            class="select2-focusser select2-offscreen" type="text" id="s2id_autogen7">
                          <div class="select2-drop select2-with-searchbox" style="display:none">
                            <div class="select2-search"> <input type="text" autocomplete="off" class="select2-input"> </div>
                            <ul class="select2-results"> </ul>
                          </div>
                        </div><select ciee-select2="" name="selInstitutionState" data-ng-model="model.StateId" data-ciee-required-to-save="stateList.length > 0 &amp;&amp; (showWriteIn || showAltWriteIn)"
                          class="col-xs-12 noPadding ng-untouched ng-valid ng-empty ng-valid-required-to-save select2-offscreen ng-dirty ng-valid-parse" tabindex="-1">
                          <option value=""></option>
                          <!-- ngRepeat: state in stateList -->
                          <option ng-repeat="state in stateList" value="1" class="ng-binding ng-scope">Alaska</option><!-- end ngRepeat: state in stateList -->
                          <option ng-repeat="state in stateList" value="2" class="ng-binding ng-scope">Alabama</option><!-- end ngRepeat: state in stateList -->
                          <option ng-repeat="state in stateList" value="3" class="ng-binding ng-scope">Arkansas</option><!-- end ngRepeat: state in stateList -->
                          <option ng-repeat="state in stateList" value="4" class="ng-binding ng-scope">Arizona</option><!-- end ngRepeat: state in stateList -->
                          <option ng-repeat="state in stateList" value="5" class="ng-binding ng-scope">California</option><!-- end ngRepeat: state in stateList -->
                          <option ng-repeat="state in stateList" value="6" class="ng-binding ng-scope">Colorado</option><!-- end ngRepeat: state in stateList -->
                          <option ng-repeat="state in stateList" value="7" class="ng-binding ng-scope">Connecticut</option><!-- end ngRepeat: state in stateList -->
                          <option ng-repeat="state in stateList" value="8" class="ng-binding ng-scope">Washington D.C.</option><!-- end ngRepeat: state in stateList -->
                          <option ng-repeat="state in stateList" value="9" class="ng-binding ng-scope">Delaware</option><!-- end ngRepeat: state in stateList -->
                          <option ng-repeat="state in stateList" value="10" class="ng-binding ng-scope">Florida</option><!-- end ngRepeat: state in stateList -->
                          <option ng-repeat="state in stateList" value="11" class="ng-binding ng-scope">Georgia</option><!-- end ngRepeat: state in stateList -->
                          <option ng-repeat="state in stateList" value="12" class="ng-binding ng-scope">Hawaii</option><!-- end ngRepeat: state in stateList -->
                          <option ng-repeat="state in stateList" value="13" class="ng-binding ng-scope">Iowa</option><!-- end ngRepeat: state in stateList -->
                          <option ng-repeat="state in stateList" value="14" class="ng-binding ng-scope">Idaho</option><!-- end ngRepeat: state in stateList -->
                          <option ng-repeat="state in stateList" value="15" class="ng-binding ng-scope">Illinois</option><!-- end ngRepeat: state in stateList -->
                          <option ng-repeat="state in stateList" value="16" class="ng-binding ng-scope">Indiana</option><!-- end ngRepeat: state in stateList -->
                          <option ng-repeat="state in stateList" value="17" class="ng-binding ng-scope">Kansas</option><!-- end ngRepeat: state in stateList -->
                          <option ng-repeat="state in stateList" value="18" class="ng-binding ng-scope">Kentucky</option><!-- end ngRepeat: state in stateList -->
                          <option ng-repeat="state in stateList" value="19" class="ng-binding ng-scope">Louisiana</option><!-- end ngRepeat: state in stateList -->
                          <option ng-repeat="state in stateList" value="20" class="ng-binding ng-scope">Massachusetts</option><!-- end ngRepeat: state in stateList -->
                          <option ng-repeat="state in stateList" value="21" class="ng-binding ng-scope">Maryland</option><!-- end ngRepeat: state in stateList -->
                          <option ng-repeat="state in stateList" value="22" class="ng-binding ng-scope">Maine</option><!-- end ngRepeat: state in stateList -->
                          <option ng-repeat="state in stateList" value="23" class="ng-binding ng-scope">Michigan</option><!-- end ngRepeat: state in stateList -->
                          <option ng-repeat="state in stateList" value="24" class="ng-binding ng-scope">Minnesota</option><!-- end ngRepeat: state in stateList -->
                          <option ng-repeat="state in stateList" value="25" class="ng-binding ng-scope">Missouri</option><!-- end ngRepeat: state in stateList -->
                          <option ng-repeat="state in stateList" value="26" class="ng-binding ng-scope">Mississippi</option><!-- end ngRepeat: state in stateList -->
                          <option ng-repeat="state in stateList" value="27" class="ng-binding ng-scope">Montana</option><!-- end ngRepeat: state in stateList -->
                          <option ng-repeat="state in stateList" value="28" class="ng-binding ng-scope">North Carolina</option><!-- end ngRepeat: state in stateList -->
                          <option ng-repeat="state in stateList" value="29" class="ng-binding ng-scope">North Dakota</option><!-- end ngRepeat: state in stateList -->
                          <option ng-repeat="state in stateList" value="30" class="ng-binding ng-scope">Nebraska</option><!-- end ngRepeat: state in stateList -->
                          <option ng-repeat="state in stateList" value="31" class="ng-binding ng-scope">New Hampshire</option><!-- end ngRepeat: state in stateList -->
                          <option ng-repeat="state in stateList" value="32" class="ng-binding ng-scope">New Jersey</option><!-- end ngRepeat: state in stateList -->
                          <option ng-repeat="state in stateList" value="33" class="ng-binding ng-scope">New Mexico</option><!-- end ngRepeat: state in stateList -->
                          <option ng-repeat="state in stateList" value="34" class="ng-binding ng-scope">Nevada</option><!-- end ngRepeat: state in stateList -->
                          <option ng-repeat="state in stateList" value="35" class="ng-binding ng-scope">New York</option><!-- end ngRepeat: state in stateList -->
                          <option ng-repeat="state in stateList" value="36" class="ng-binding ng-scope">Ohio</option><!-- end ngRepeat: state in stateList -->
                          <option ng-repeat="state in stateList" value="37" class="ng-binding ng-scope">Oklahoma</option><!-- end ngRepeat: state in stateList -->
                          <option ng-repeat="state in stateList" value="38" class="ng-binding ng-scope">Oregon</option><!-- end ngRepeat: state in stateList -->
                          <option ng-repeat="state in stateList" value="39" class="ng-binding ng-scope">Pennsylvania</option><!-- end ngRepeat: state in stateList -->
                          <option ng-repeat="state in stateList" value="40" class="ng-binding ng-scope">Rhode Island</option><!-- end ngRepeat: state in stateList -->
                          <option ng-repeat="state in stateList" value="41" class="ng-binding ng-scope">South Carolina</option><!-- end ngRepeat: state in stateList -->
                          <option ng-repeat="state in stateList" value="42" class="ng-binding ng-scope">South Dakota</option><!-- end ngRepeat: state in stateList -->
                          <option ng-repeat="state in stateList" value="43" class="ng-binding ng-scope">Tennessee</option><!-- end ngRepeat: state in stateList -->
                          <option ng-repeat="state in stateList" value="44" class="ng-binding ng-scope">Texas</option><!-- end ngRepeat: state in stateList -->
                          <option ng-repeat="state in stateList" value="45" class="ng-binding ng-scope">Utah</option><!-- end ngRepeat: state in stateList -->
                          <option ng-repeat="state in stateList" value="46" class="ng-binding ng-scope">Virginia</option><!-- end ngRepeat: state in stateList -->
                          <option ng-repeat="state in stateList" value="47" class="ng-binding ng-scope">Vermont</option><!-- end ngRepeat: state in stateList -->
                          <option ng-repeat="state in stateList" value="48" class="ng-binding ng-scope">Washington</option><!-- end ngRepeat: state in stateList -->
                          <option ng-repeat="state in stateList" value="49" class="ng-binding ng-scope">Wisconsin</option><!-- end ngRepeat: state in stateList -->
                          <option ng-repeat="state in stateList" value="50" class="ng-binding ng-scope">West Virginia</option><!-- end ngRepeat: state in stateList -->
                          <option ng-repeat="state in stateList" value="51" class="ng-binding ng-scope">Wyoming</option><!-- end ngRepeat: state in stateList -->
                        </select>
                      </div>
                      <div class="col-md-6 ng-hide" ng-show="getForm().selInstitutionState.$error.requiredToSave &amp;&amp; selInstitutionState.hasHadFocus">
                        <span class="help-block ng-binding" name=" State is required."> State is required.</span>
                      </div>
                    </div>
                  </div>
                  <div class="form-group ng-hide" data-ng-show="stateList.length == 0">
                    <label class="control-label ng-binding" for="txtInstitutionStateOther"> State - Other</label>
                    <div class="row">
                      <div class="col-md-6">
                        <input class="form-control ng-pristine ng-untouched ng-valid ng-empty" type="text" name="txtInstitutionStateOther" data-ng-model="model.StateOther">
                      </div>
                      <div class="col-md-6 ng-hide" ng-show="(getForm().txtInstitutionStateOther.$error.requiredToSave) &amp;&amp; txtInstitutionStateOther.hasHadFocus">
                        <span class="help-block ng-binding" name=" State is required."> State is required.</span>
                      </div>
                    </div>
                  </div>
                  <div class="form-group">
                    <label class="control-label ng-binding" for="txtInstitutionCity"> City</label>
                    <div class="row">
                      <div class="col-md-6">
                        <input class="form-control ng-pristine ng-untouched ng-valid ng-empty ng-valid-required-to-save" type="text" name="txtInstitutionCity" data-ng-model="model.City" data-ciee-required-to-save="showWriteIn || showAltWriteIn">
                      </div>
                      <div class="col-md-6 ng-hide" ng-show="(getForm().txtInstitutionCity.$error.requiredToSave) &amp;&amp; txtInstitutionCity.hasHadFocus">
                        <span class="help-block ng-binding" name=" City is required."> City is required.</span>
                      </div>
                    </div>
                  </div>
                  <div class="form-group">
                    <label class="control-label ng-binding" for="txtInstitutionName"> Name</label>
                    <div class="row">
                      <div class="col-md-6">
                        <input class="form-control ng-pristine ng-untouched ng-valid ng-empty ng-valid-required-to-save" type="text" name="txtInstitutionName" data-ng-model="model.InstitutionName"
                          data-ciee-required-to-save="showWriteIn || showAltWriteIn">
                      </div>
                      <div class="col-md-6 ng-hide" ng-show="(getForm().txtInstitutionName.$error.requiredToSave) &amp;&amp; txtInstitutionName.hasHadFocus">
                        <span class="help-block ng-binding" name=" Name is required."> Name is required.</span>
                      </div>
                    </div>
                  </div>
                  <button class="btn btn-default" ng-click="CancelWriteIn()">Cancel</button>
                  <button class="btn btn-primary ng-binding" ng-click="addInstitution()" ng-disabled="(!getForm().$dirty || !getForm().$valid)">Save </button>
                </form>
              </div>
            </div>
          </div>
          <!-- Not Enrolled: hide for TCH, TEFL, IFDS -->
          <div class="metroCheckBox ng-hide" data-ng-show="displayNotEnrolled &amp;&amp; showInstitutionSelector">
            <input type="checkbox" id="checkbox-1-1" data-ng-model="signUpModel.NotCurrentlyEnrolled" data-ng-change="notCurrentlyEnrolledChanged()" class="ng-pristine ng-untouched ng-valid ng-empty">
            <label for="checkbox-1-1" class="ng-binding"></label>
          </div>
          <!-- College Graduation Year -->
          <!-- ngIf: programTypeId == 101 -->
          <!-- Contact Type -->
          <div class="form-group">
            <label class="control-label ng-binding" for="selContactType">I'm interested in CIEE as a:</label>
            <div class="row">
              <div class="col-xs-12">
                <div class="select2-container col-xs-12 noPadding ng-pristine ng-untouched ng-valid ng-empty ng-valid-required-to-save" id="s2id_autogen1">
                  <a href="javascript:void(0)" onclick="return false;" class="select2-choice" tabindex="-1">   <span></span><abbr class="select2-search-choice-close" style="display:none;"></abbr>   <div><b class="fas fa-chevron-down"></b></div></a><input
                    class="select2-focusser select2-offscreen" type="text" id="s2id_autogen2">
                  <div class="select2-drop select2-with-searchbox" style="display:none">
                    <div class="select2-search"> <input type="text" autocomplete="off" class="select2-input"> </div>
                    <ul class="select2-results"> </ul>
                  </div>
                </div><select class="col-xs-12 noPadding ng-pristine ng-untouched ng-valid ng-empty ng-valid-required-to-save select2-offscreen" name="selContactType" ciee-select2="" data-ng-model="signUpModel.MarketingInterestContactTypeId"
                  data-ciee-required-to-save="showSignup" tabindex="-1">
                  <option value=""></option>
                  <!-- ngRepeat: contactType in contactTypes -->
                </select>
              </div>
              <div class="col-xs-12 ">
                <span class="help-block ng-hide" name="Interested as is required" ng-show="(myForm.selContactType.$error.requiredToSave) &amp;&amp; selContactType.hasHadFocus">Interested as is required.</span>
              </div>
            </div>
          </div>
          <!-- Gender -->
          <div class="form-group">
            <label class="control-label" for="gender">Sex (as listed on legal document/passport):</label>
            <div class="row">
              <div class="col-md-2 metroRadioButton">
                <input type="radio" id="gender-male" name="gender" data-ng-model="signUpModel.Sex" ng-value="1" data-ciee-required-to-save="showSignup &amp;&amp; signUpModel.Sex == null"
                  class="ng-pristine ng-untouched ng-valid ng-empty ng-valid-required-to-save" value="1">
                <label for="gender-male" id="lblGenderMale">Male</label>
              </div>
              <div class="col-md-2 metroRadioButton">
                <input type="radio" id="gender-female" name="gender" data-ng-model="signUpModel.Sex" ng-value="0" data-ciee-required-to-save="showSignup &amp;&amp; signUpModel.Sex == null"
                  class="ng-pristine ng-untouched ng-valid ng-empty ng-valid-required-to-save" value="0">
                <label for="gender-female">Female</label>
              </div>
              <div class="col-md-2 metroRadioButton">
                <input type="radio" id="gender-x" name="gender" data-ng-model="signUpModel.Sex" ng-value="2" data-ciee-required-to-save="showSignup &amp;&amp; signUpModel.Sex == null"
                  class="ng-pristine ng-untouched ng-valid ng-empty ng-valid-required-to-save" value="2">
                <label for="gender-x">X</label>
              </div>
              <span class="help-block ng-hide" name="Gender is required" ng-show="myForm.gender.$error.requiredToSave &amp;&amp; gender.hasHadFocus">Gender is required.</span>
            </div>
          </div>
        </div> <!-- end of left column -->
        <!-- Right Column -->
        <div class="col-md-6">
          <!-- Password -->
          <div class="form-group">
            <label class="control-label" for="signupPassword">Password:</label>
            <input type="password" name="signupPassword" id="signupPassword" class="form-control ng-pristine ng-untouched ng-valid ng-valid-max-length ng-empty ng-valid-required-to-save" data-ciee-validate="true" data-ng-model="signUpModel.Password"
              ng-change="checkPasswordComplexity()" data-ciee-required-to-save="showSignup" data-ciee-val-max-length="128">
            <span ng-show="signupPassword.hasHadFocus &amp;&amp; myForm.signupPassword.$error.requiredToSave" name="Password is required" class="help-block ng-hide">Password is required.</span>
            <span ng-show="signupPassword.hasHadFocus &amp;&amp; myForm.signupPassword.$error.maxLength" name="Maximum length is 128" class="help-block ng-hide">Maximum length is 128.</span>
          </div>
          <!-- Confirm Password -->
          <div class="form-group">
            <label class="control-label" for="confirmPassword">Password Confirmation:</label>
            <input type="password" name="confirmPassword" id="confirmPassword" class="form-control ng-pristine ng-untouched ng-valid ng-empty ng-valid-required-to-save" data-ng-model="signUpModel.ConfirmPassword" ng-change="checkPasswordComplexity()"
              data-ciee-required-to-save="showSignup">
            <span ng-show="confirmPassword.hasHadFocus &amp;&amp; myForm.confirmPassword.$error.requiredToSave" name="Please Confirm your password" class="help-block ng-hide">Please Confirm your password.</span>
          </div>
          <!-- Show Password Button -->
          <button id="showPassword" type="button" class="btn btn-default ng-binding" ng-click="togglePasswordVisibility()">Show Password</button>
          <!-- Password Complexity Feedback -->
          <div class="passwordStatus">
            <div id="passwordOneLower" ng-class="passwordOneLower ? 'pwdCorrect': 'pwdError' " class="pwdError">Password must include at least one lowercase letter.</div>
            <div id="passwordOneCapital" ng-class="passwordOneCapital ? 'pwdCorrect': 'pwdError' " class="pwdError">Password must include at least one capital letter.</div>
            <div id="passwordOneNumber" ng-class="passwordOneNumber ? 'pwdCorrect': 'pwdError' " class="pwdError">Password must include at least one number.</div>
            <!--<div id="passwordOneSymbol" ng-class="passwordOneSymbol ? 'pwdCorrect': 'bg-danger' ">Password must include at least one symbol.</div>-->
            <div id="passwordEightCharacters" ng-class="passwordEightCharacters ? 'pwdCorrect': 'pwdError' " class="pwdError">Password must be at least 8 characters.</div>
            <div id="passwordsMatch" ng-class="passwordsMatch ? 'pwdCorrect': 'pwdError' " class="pwdError">Password confirmation field must match password field.</div>
          </div>
          <!-- Newsletter Checkbox -->
          <div class="metroCheckBox ng-hide" ng-show="showNewsletterSignup">
            <input id="cboxNewsletter" type="checkbox" name="cboxNewsletter" data-ng-model="signUpModel.SubscribeToNewsletter" class="ng-pristine ng-untouched ng-valid ng-empty">
            <label for="cboxNewsletter">Sign me up for the newsletter</label>
          </div>
          <!-- Text Messages Checkbox -->
          <div class="metroCheckBox ng-hide" ng-show="showRecieveTextMessages">
            <input id="cboxSendTextMessages" type="checkbox" name="cboxSendTextMessages" data-ng-model="signUpModel.SendTextMessages" class="ng-pristine ng-untouched ng-valid ng-empty">
            <label for="cboxSendTextMessages">Text me with updates and program information</label>
          </div>
          <!-- Term and Conditions Checkbox -->
          <div class="metroCheckBox">
            <input id="cboxTerms" type="checkbox" name="cboxTerms" data-ng-model="signUpModel.HasAcceptedTermsAndConditions" data-ciee-required-to-save="showSignup" class="ng-pristine ng-untouched ng-valid ng-empty ng-valid-required-to-save">
            <label for="cboxTerms">
              <span id="spnTermsAndConditions">By proceeding, I agree to the</span>
              <span>
                <a target="_blank">CIEE Terms and Conditions</a> and <a target="_blank">Privacy Notice</a>
              </span>
            </label>
            <br>
            <span id="CheckBoxRequired" ng-class="signUpModel.HasAcceptedTermsAndConditions ? 'pwdCorrect': 'pwdError' " name="You must check this box to proceed" class="pwdError">You must check this box to proceed.</span>
          </div>
          <!-- Is Almuni Check Box  -->
          <div class="metroCheckBox ng-hide" ng-show="showIsAlumnus">
            <input id="cboxIsAlumni" class="checkbox ng-pristine ng-untouched ng-valid ng-empty" type="checkbox" name="cboxIsAlumni" data-ng-model="signUpModel.IsAlumnus">
            <label for="cboxIsAlumni" class="ng-binding">I have been on a CIEE program previously.</label>
          </div>
          <!-- Almuni Text: required when shown?? -->
          <div class="form-group ng-hide" data-ng-show="signUpModel.IsAlumnus">
            <label class="control-label" for="alumniText">When &amp; Where?</label>
            <input type="text" name="alumniText" id="alumniText" class="form-control ng-pristine ng-untouched ng-valid ng-valid-max-length ng-empty ng-valid-required-to-save" data-ng-model="signUpModel.AlumnusDescription"
              data-ciee-required-to-save="showSignup &amp;&amp; signUpModel.IsAlumnus" data-ciee-validate="true" data-ciee-val-max-length="100">
            <span ng-show="alumniText.hasHadFocus &amp;&amp; myForm.alumniText.$error.requiredToSave" name="Explanation is required" class="help-block ng-hide">Explanation is required.</span>
            <span ng-show="alumniText.hasHadFocus &amp;&amp; myForm.alumniText.$error.maxLength" name="Maximum length is 100" class="help-block ng-hide">Maximum length is 100.</span>
          </div>
          <!-- Submit Button-->
          <div class="form-actions">
            <button id="btnSignUp" type="submit" ng-disabled="!isValid() || !signUpModel.HasAcceptedTermsAndConditions" class="btn btn-primary" disabled="disabled">Sign Up</button>
          </div>
        </div> <!-- End Right Column -->
      </div>
    </div> <!-- End Containter -->
  </div>
</form>

Name: writeInInstitution

<form name="writeInInstitution" class="ng-valid ng-valid-required-to-save ng-valid-parse ng-dirty">
  <div class="form-group">
    <label class="control-label ng-binding" for="selInstitutionCountry"> Country</label>
    <div class="row">
      <div class="col-md-6 col-xs-12">
        <div class="select2-container col-xs-12 noPadding ng-untouched ng-valid ng-empty ng-valid-required-to-save ng-valid-parse ng-pristine" id="s2id_autogen4">
          <a href="javascript:void(0)" onclick="return false;" class="select2-choice" tabindex="-1">   <span></span><abbr class="select2-search-choice-close" style="display:none;"></abbr>   <div><b class="fas fa-chevron-down"></b></div></a><input
            class="select2-focusser select2-offscreen" type="text" id="s2id_autogen5">
          <div class="select2-drop select2-with-searchbox" style="display:none">
            <div class="select2-search"> <input type="text" autocomplete="off" class="select2-input"> </div>
            <ul class="select2-results"> </ul>
          </div>
        </div><select ciee-select2="" name="selInstitutionCountry" data-ng-model="model.CountryId" data-ciee-required-to-save="showWriteIn || showAltWriteIn"
          class="col-xs-12 noPadding ng-untouched ng-valid ng-empty ng-valid-required-to-save select2-offscreen ng-valid-parse ng-pristine" tabindex="-1">
          <option value=""></option>
          <!-- ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="1" class="ng-binding ng-scope">United States</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="2" class="ng-binding ng-scope">Canada</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="275" class="ng-binding ng-scope">Afghanistan</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="3" class="ng-binding ng-scope">Albania</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="4" class="ng-binding ng-scope">Algeria</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="5" class="ng-binding ng-scope">American Samoa</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="6" class="ng-binding ng-scope">Andorra</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="7" class="ng-binding ng-scope">Angola</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="8" class="ng-binding ng-scope">Anguilla</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="9" class="ng-binding ng-scope">Antigua and Barbuda</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="10" class="ng-binding ng-scope">Argentina</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="11" class="ng-binding ng-scope">Armenia</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="12" class="ng-binding ng-scope">Aruba</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="13" class="ng-binding ng-scope">Australia</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="14" class="ng-binding ng-scope">Austria</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="15" class="ng-binding ng-scope">Azerbaijan</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="16" class="ng-binding ng-scope">Azores</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="17" class="ng-binding ng-scope">Bahamas</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="18" class="ng-binding ng-scope">Bahrain</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="19" class="ng-binding ng-scope">Bangladesh</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="20" class="ng-binding ng-scope">Barbados</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="21" class="ng-binding ng-scope">Belarus</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="22" class="ng-binding ng-scope">Belgium</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="23" class="ng-binding ng-scope">Belize</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="24" class="ng-binding ng-scope">Benin</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="25" class="ng-binding ng-scope">Bermuda</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="26" class="ng-binding ng-scope">Bhutan</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="27" class="ng-binding ng-scope">Bolivia</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="28" class="ng-binding ng-scope">Bonaire</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="29" class="ng-binding ng-scope">Bosnia and Herzegovina</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="30" class="ng-binding ng-scope">Botswana</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="31" class="ng-binding ng-scope">Bouvet Island</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="32" class="ng-binding ng-scope">Brazil</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="33" class="ng-binding ng-scope">British Indian Ocean Territory</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="34" class="ng-binding ng-scope">Brunei Darussalam</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="35" class="ng-binding ng-scope">Bulgaria</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="36" class="ng-binding ng-scope">Burkina Faso</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="37" class="ng-binding ng-scope">Burundi</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="38" class="ng-binding ng-scope">Cambodia</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="39" class="ng-binding ng-scope">Cameroon</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="41" class="ng-binding ng-scope">Canary Islands</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="42" class="ng-binding ng-scope">Cape Verde</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="43" class="ng-binding ng-scope">Cayman Islands</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="44" class="ng-binding ng-scope">Central African Republic</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="45" class="ng-binding ng-scope">Chad</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="46" class="ng-binding ng-scope">Channel Islands</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="47" class="ng-binding ng-scope">Chile</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="48" class="ng-binding ng-scope">China</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="49" class="ng-binding ng-scope">Christmas Island</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="50" class="ng-binding ng-scope">Cocos (Keeling) Islands</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="51" class="ng-binding ng-scope">Colombia</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="52" class="ng-binding ng-scope">Comoros</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="53" class="ng-binding ng-scope">Congo (Democratic Republic of)</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="281" class="ng-binding ng-scope">Congo (Republic of)</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="54" class="ng-binding ng-scope">Cook Islands</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="55" class="ng-binding ng-scope">Costa Rica</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="56" class="ng-binding ng-scope">Cote D'Ivoire (Ivory Coast)</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="57" class="ng-binding ng-scope">Croatia (Hrvatska)</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="272" class="ng-binding ng-scope">Cuba</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="58" class="ng-binding ng-scope">Curacao</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="59" class="ng-binding ng-scope">Cyprus</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="60" class="ng-binding ng-scope">Czech Republic</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="61" class="ng-binding ng-scope">Denmark</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="62" class="ng-binding ng-scope">Djibouti</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="63" class="ng-binding ng-scope">Dominica</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="64" class="ng-binding ng-scope">Dominican Republic</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="65" class="ng-binding ng-scope">East Timor</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="66" class="ng-binding ng-scope">Ecuador</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="67" class="ng-binding ng-scope">Egypt</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="68" class="ng-binding ng-scope">El Salvador</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="69" class="ng-binding ng-scope">England</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="70" class="ng-binding ng-scope">Equatorial Guinea</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="71" class="ng-binding ng-scope">Eritrea</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="72" class="ng-binding ng-scope">Estonia</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="73" class="ng-binding ng-scope">Ethiopia</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="74" class="ng-binding ng-scope">Faeroe Islands</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="75" class="ng-binding ng-scope">Falkland Islands (Malvinas)</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="76" class="ng-binding ng-scope">Fiji</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="77" class="ng-binding ng-scope">Finland</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="78" class="ng-binding ng-scope">France</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="79" class="ng-binding ng-scope">French Guiana</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="80" class="ng-binding ng-scope">French Polynesia</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="81" class="ng-binding ng-scope">French Southern Territories</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="82" class="ng-binding ng-scope">Gabon</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="83" class="ng-binding ng-scope">Gambia</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="84" class="ng-binding ng-scope">Georgia</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="85" class="ng-binding ng-scope">Germany</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="86" class="ng-binding ng-scope">Ghana</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="87" class="ng-binding ng-scope">Gibraltar</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="88" class="ng-binding ng-scope">Great Britain (UK)</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="89" class="ng-binding ng-scope">Greece</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="90" class="ng-binding ng-scope">Greenland</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="91" class="ng-binding ng-scope">Grenada</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="92" class="ng-binding ng-scope">Guadeloupe</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="93" class="ng-binding ng-scope">Guam</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="94" class="ng-binding ng-scope">Guatemala</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="95" class="ng-binding ng-scope">Guinea</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="96" class="ng-binding ng-scope">Guinea-Bissau</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="97" class="ng-binding ng-scope">Guyana</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="98" class="ng-binding ng-scope">Haiti</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="99" class="ng-binding ng-scope">Heard Island and McDonald Islands</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="100" class="ng-binding ng-scope">Honduras</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="101" class="ng-binding ng-scope">Hong Kong</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="102" class="ng-binding ng-scope">Hungary</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="103" class="ng-binding ng-scope">Iceland</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="104" class="ng-binding ng-scope">India</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="105" class="ng-binding ng-scope">Indonesia</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="276" class="ng-binding ng-scope">Iran</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="277" class="ng-binding ng-scope">Iraq</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="106" class="ng-binding ng-scope">Ireland</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="107" class="ng-binding ng-scope">Israel</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="108" class="ng-binding ng-scope">Italy</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="109" class="ng-binding ng-scope">Jamaica</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="110" class="ng-binding ng-scope">Japan</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="111" class="ng-binding ng-scope">Jordan</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="112" class="ng-binding ng-scope">Kazakhstan</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="113" class="ng-binding ng-scope">Kenya</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="114" class="ng-binding ng-scope">Kiribati</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="278" class="ng-binding ng-scope">Korea</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="280" class="ng-binding ng-scope">Kosovo</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="115" class="ng-binding ng-scope">Kosrae</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="116" class="ng-binding ng-scope">Kuwait</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="117" class="ng-binding ng-scope">Kyrgyzstan</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="118" class="ng-binding ng-scope">Laos</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="119" class="ng-binding ng-scope">Latvia</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="120" class="ng-binding ng-scope">Lebanon</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="121" class="ng-binding ng-scope">Lesotho</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="122" class="ng-binding ng-scope">Liberia</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="123" class="ng-binding ng-scope">Libya</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="124" class="ng-binding ng-scope">Liechtenstein</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="125" class="ng-binding ng-scope">Lithuania</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="126" class="ng-binding ng-scope">Luxembourg</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="127" class="ng-binding ng-scope">Macau</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="128" class="ng-binding ng-scope">Macedonia</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="129" class="ng-binding ng-scope">Madagascar</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="130" class="ng-binding ng-scope">Madeira</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="131" class="ng-binding ng-scope">Malawi</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="132" class="ng-binding ng-scope">Malaysia</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="133" class="ng-binding ng-scope">Maldives</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="134" class="ng-binding ng-scope">Mali</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="135" class="ng-binding ng-scope">Malta</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="136" class="ng-binding ng-scope">Marshall Islands</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="137" class="ng-binding ng-scope">Martinique</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="138" class="ng-binding ng-scope">Mauritania</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="139" class="ng-binding ng-scope">Mauritius</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="140" class="ng-binding ng-scope">Mayotte</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="141" class="ng-binding ng-scope">Mexico</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="142" class="ng-binding ng-scope">Micronesia</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="143" class="ng-binding ng-scope">Moldova</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="144" class="ng-binding ng-scope">Monaco</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="145" class="ng-binding ng-scope">Mongolia</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="274" class="ng-binding ng-scope">Montenegro</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="146" class="ng-binding ng-scope">Montserrat</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="147" class="ng-binding ng-scope">Morocco</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="148" class="ng-binding ng-scope">Mozambique</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="149" class="ng-binding ng-scope">Myanmar</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="150" class="ng-binding ng-scope">Namibia</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="151" class="ng-binding ng-scope">Nauru</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="152" class="ng-binding ng-scope">Nepal</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="153" class="ng-binding ng-scope">Netherlands</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="154" class="ng-binding ng-scope">Netherlands Antilles</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="155" class="ng-binding ng-scope">Neutral Zone</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="156" class="ng-binding ng-scope">New Caledonia</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="157" class="ng-binding ng-scope">New Zealand (Aotearoa)</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="158" class="ng-binding ng-scope">Nicaragua</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="159" class="ng-binding ng-scope">Niger</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="160" class="ng-binding ng-scope">Nigeria</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="161" class="ng-binding ng-scope">Niue</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="162" class="ng-binding ng-scope">Norfolk Island</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="163" class="ng-binding ng-scope">North Korea</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="164" class="ng-binding ng-scope">Northern Ireland</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="165" class="ng-binding ng-scope">Northern Mariana Islands</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="166" class="ng-binding ng-scope">Norway</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="167" class="ng-binding ng-scope">Oman</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="282" class="ng-binding ng-scope">Online</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="168" class="ng-binding ng-scope">Pakistan</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="169" class="ng-binding ng-scope">Palau</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="170" class="ng-binding ng-scope">Panama</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="171" class="ng-binding ng-scope">Papua New Guinea</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="172" class="ng-binding ng-scope">Paraguay</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="173" class="ng-binding ng-scope">Peru</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="174" class="ng-binding ng-scope">Philippines</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="175" class="ng-binding ng-scope">Pitcairn</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="176" class="ng-binding ng-scope">Poland</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="177" class="ng-binding ng-scope">Ponape</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="178" class="ng-binding ng-scope">Portugal</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="179" class="ng-binding ng-scope">Puerto Rico</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="180" class="ng-binding ng-scope">Qatar</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="181" class="ng-binding ng-scope">Reunion</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="182" class="ng-binding ng-scope">Romania</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="183" class="ng-binding ng-scope">Rota</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="184" class="ng-binding ng-scope">Russia</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="185" class="ng-binding ng-scope">Rwanda</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="186" class="ng-binding ng-scope">Saba</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="187" class="ng-binding ng-scope">Saint Kitts and Nevis</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="188" class="ng-binding ng-scope">Saint Lucia</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="189" class="ng-binding ng-scope">Saint Vincent and the Grenadines</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="190" class="ng-binding ng-scope">Saipan</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="191" class="ng-binding ng-scope">Samoa</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="192" class="ng-binding ng-scope">San Marino</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="193" class="ng-binding ng-scope">Sao Tome and Principe</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="194" class="ng-binding ng-scope">Saudi Arabia</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="195" class="ng-binding ng-scope">Scotland</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="196" class="ng-binding ng-scope">Senegal</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="279" class="ng-binding ng-scope">Serbia</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="197" class="ng-binding ng-scope">Seychelles</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="198" class="ng-binding ng-scope">Sierra Leone</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="199" class="ng-binding ng-scope">Singapore</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="200" class="ng-binding ng-scope">Slovak Republic</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="201" class="ng-binding ng-scope">Slovenia</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="202" class="ng-binding ng-scope">Solomon Islands</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="203" class="ng-binding ng-scope">Somalia</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="204" class="ng-binding ng-scope">South Africa</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="205" class="ng-binding ng-scope">South Georgia and South Sandwich Islands.</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="206" class="ng-binding ng-scope">South Korea</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="284" class="ng-binding ng-scope">South Sudan</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="207" class="ng-binding ng-scope">Spain</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="208" class="ng-binding ng-scope">Sri Lanka</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="210" class="ng-binding ng-scope">St. Christopher</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="211" class="ng-binding ng-scope">St. Croix</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="212" class="ng-binding ng-scope">St. Eustatius</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="213" class="ng-binding ng-scope">St. Helena</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="214" class="ng-binding ng-scope">St. John</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="217" class="ng-binding ng-scope">St. Maarten</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="218" class="ng-binding ng-scope">St. Martin</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="219" class="ng-binding ng-scope">St. Pierre and Miquelon</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="220" class="ng-binding ng-scope">St. Thomas</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="222" class="ng-binding ng-scope">Sudan</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="223" class="ng-binding ng-scope">Suriname</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="224" class="ng-binding ng-scope">Svalbard and Jan Mayen Islands</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="225" class="ng-binding ng-scope">Swaziland</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="226" class="ng-binding ng-scope">Sweden</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="227" class="ng-binding ng-scope">Switzerland</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="228" class="ng-binding ng-scope">Syria</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="229" class="ng-binding ng-scope">Tahiti</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="230" class="ng-binding ng-scope">Taiwan</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="231" class="ng-binding ng-scope">Tajikistan</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="232" class="ng-binding ng-scope">Tanzania</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="233" class="ng-binding ng-scope">Thailand</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="234" class="ng-binding ng-scope">Tinian</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="235" class="ng-binding ng-scope">Togo</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="236" class="ng-binding ng-scope">Tokelau</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="237" class="ng-binding ng-scope">Tonga</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="238" class="ng-binding ng-scope">Tortola</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="239" class="ng-binding ng-scope">Trinidad and Tobago</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="240" class="ng-binding ng-scope">Truk</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="241" class="ng-binding ng-scope">Tunisia</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="242" class="ng-binding ng-scope">Turkey</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="243" class="ng-binding ng-scope">Turkmenistan</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="244" class="ng-binding ng-scope">Turks and Caicos Islands</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="245" class="ng-binding ng-scope">Tuvalu</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="246" class="ng-binding ng-scope">Uganda</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="247" class="ng-binding ng-scope">Ukraine</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="248" class="ng-binding ng-scope">Union Island</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="249" class="ng-binding ng-scope">United Arab Emirates</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="250" class="ng-binding ng-scope">United Kingdom</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="251" class="ng-binding ng-scope">Uruguay</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="252" class="ng-binding ng-scope">US Minor Outlying Islands</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="253" class="ng-binding ng-scope">USSR (former)</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="254" class="ng-binding ng-scope">Uzbekistan</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="255" class="ng-binding ng-scope">Vanuatu</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="256" class="ng-binding ng-scope">Vatican City State (Holy See)</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="257" class="ng-binding ng-scope">Venezuela</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="258" class="ng-binding ng-scope">Vietnam</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="259" class="ng-binding ng-scope">Virgin Gorda</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="260" class="ng-binding ng-scope">Virgin Islands (British)</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="262" class="ng-binding ng-scope">Wales</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="263" class="ng-binding ng-scope">Wallis and Futuna Islands</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="265" class="ng-binding ng-scope">Yap</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="266" class="ng-binding ng-scope">Yemen</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="267" class="ng-binding ng-scope">Yugoslavia</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="268" class="ng-binding ng-scope">Zaire</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="269" class="ng-binding ng-scope">Zambia</option><!-- end ngRepeat: country in countryList -->
          <option ng-repeat="country in countryList" value="270" class="ng-binding ng-scope">Zimbabwe</option><!-- end ngRepeat: country in countryList -->
        </select>
      </div>
      <div class="col-md-6 col-xs-12 ng-hide" ng-show="(getForm().selInstitutionCountry.$error.requiredToSave) &amp;&amp; selInstitutionCountry.hasHadFocus">
        <span class="help-block ng-binding" name=" Country is required."> Country is required.</span>
      </div>
    </div>
  </div>
  <div class="form-group" data-ng-show="stateList.length > 0">
    <label class="control-label ng-binding" for="selInstitutionState"> State</label>
    <div class="row">
      <div class="col-md-6 col-xs-12">
        <div class="select2-container col-xs-12 noPadding ng-untouched ng-valid ng-empty ng-valid-required-to-save ng-dirty ng-valid-parse" id="s2id_autogen6">
          <a href="javascript:void(0)" onclick="return false;" class="select2-choice" tabindex="-1">   <span></span><abbr class="select2-search-choice-close" style="display:none;"></abbr>   <div><b class="fas fa-chevron-down"></b></div></a><input
            class="select2-focusser select2-offscreen" type="text" id="s2id_autogen7">
          <div class="select2-drop select2-with-searchbox" style="display:none">
            <div class="select2-search"> <input type="text" autocomplete="off" class="select2-input"> </div>
            <ul class="select2-results"> </ul>
          </div>
        </div><select ciee-select2="" name="selInstitutionState" data-ng-model="model.StateId" data-ciee-required-to-save="stateList.length > 0 &amp;&amp; (showWriteIn || showAltWriteIn)"
          class="col-xs-12 noPadding ng-untouched ng-valid ng-empty ng-valid-required-to-save select2-offscreen ng-dirty ng-valid-parse" tabindex="-1">
          <option value=""></option>
          <!-- ngRepeat: state in stateList -->
          <option ng-repeat="state in stateList" value="1" class="ng-binding ng-scope">Alaska</option><!-- end ngRepeat: state in stateList -->
          <option ng-repeat="state in stateList" value="2" class="ng-binding ng-scope">Alabama</option><!-- end ngRepeat: state in stateList -->
          <option ng-repeat="state in stateList" value="3" class="ng-binding ng-scope">Arkansas</option><!-- end ngRepeat: state in stateList -->
          <option ng-repeat="state in stateList" value="4" class="ng-binding ng-scope">Arizona</option><!-- end ngRepeat: state in stateList -->
          <option ng-repeat="state in stateList" value="5" class="ng-binding ng-scope">California</option><!-- end ngRepeat: state in stateList -->
          <option ng-repeat="state in stateList" value="6" class="ng-binding ng-scope">Colorado</option><!-- end ngRepeat: state in stateList -->
          <option ng-repeat="state in stateList" value="7" class="ng-binding ng-scope">Connecticut</option><!-- end ngRepeat: state in stateList -->
          <option ng-repeat="state in stateList" value="8" class="ng-binding ng-scope">Washington D.C.</option><!-- end ngRepeat: state in stateList -->
          <option ng-repeat="state in stateList" value="9" class="ng-binding ng-scope">Delaware</option><!-- end ngRepeat: state in stateList -->
          <option ng-repeat="state in stateList" value="10" class="ng-binding ng-scope">Florida</option><!-- end ngRepeat: state in stateList -->
          <option ng-repeat="state in stateList" value="11" class="ng-binding ng-scope">Georgia</option><!-- end ngRepeat: state in stateList -->
          <option ng-repeat="state in stateList" value="12" class="ng-binding ng-scope">Hawaii</option><!-- end ngRepeat: state in stateList -->
          <option ng-repeat="state in stateList" value="13" class="ng-binding ng-scope">Iowa</option><!-- end ngRepeat: state in stateList -->
          <option ng-repeat="state in stateList" value="14" class="ng-binding ng-scope">Idaho</option><!-- end ngRepeat: state in stateList -->
          <option ng-repeat="state in stateList" value="15" class="ng-binding ng-scope">Illinois</option><!-- end ngRepeat: state in stateList -->
          <option ng-repeat="state in stateList" value="16" class="ng-binding ng-scope">Indiana</option><!-- end ngRepeat: state in stateList -->
          <option ng-repeat="state in stateList" value="17" class="ng-binding ng-scope">Kansas</option><!-- end ngRepeat: state in stateList -->
          <option ng-repeat="state in stateList" value="18" class="ng-binding ng-scope">Kentucky</option><!-- end ngRepeat: state in stateList -->
          <option ng-repeat="state in stateList" value="19" class="ng-binding ng-scope">Louisiana</option><!-- end ngRepeat: state in stateList -->
          <option ng-repeat="state in stateList" value="20" class="ng-binding ng-scope">Massachusetts</option><!-- end ngRepeat: state in stateList -->
          <option ng-repeat="state in stateList" value="21" class="ng-binding ng-scope">Maryland</option><!-- end ngRepeat: state in stateList -->
          <option ng-repeat="state in stateList" value="22" class="ng-binding ng-scope">Maine</option><!-- end ngRepeat: state in stateList -->
          <option ng-repeat="state in stateList" value="23" class="ng-binding ng-scope">Michigan</option><!-- end ngRepeat: state in stateList -->
          <option ng-repeat="state in stateList" value="24" class="ng-binding ng-scope">Minnesota</option><!-- end ngRepeat: state in stateList -->
          <option ng-repeat="state in stateList" value="25" class="ng-binding ng-scope">Missouri</option><!-- end ngRepeat: state in stateList -->
          <option ng-repeat="state in stateList" value="26" class="ng-binding ng-scope">Mississippi</option><!-- end ngRepeat: state in stateList -->
          <option ng-repeat="state in stateList" value="27" class="ng-binding ng-scope">Montana</option><!-- end ngRepeat: state in stateList -->
          <option ng-repeat="state in stateList" value="28" class="ng-binding ng-scope">North Carolina</option><!-- end ngRepeat: state in stateList -->
          <option ng-repeat="state in stateList" value="29" class="ng-binding ng-scope">North Dakota</option><!-- end ngRepeat: state in stateList -->
          <option ng-repeat="state in stateList" value="30" class="ng-binding ng-scope">Nebraska</option><!-- end ngRepeat: state in stateList -->
          <option ng-repeat="state in stateList" value="31" class="ng-binding ng-scope">New Hampshire</option><!-- end ngRepeat: state in stateList -->
          <option ng-repeat="state in stateList" value="32" class="ng-binding ng-scope">New Jersey</option><!-- end ngRepeat: state in stateList -->
          <option ng-repeat="state in stateList" value="33" class="ng-binding ng-scope">New Mexico</option><!-- end ngRepeat: state in stateList -->
          <option ng-repeat="state in stateList" value="34" class="ng-binding ng-scope">Nevada</option><!-- end ngRepeat: state in stateList -->
          <option ng-repeat="state in stateList" value="35" class="ng-binding ng-scope">New York</option><!-- end ngRepeat: state in stateList -->
          <option ng-repeat="state in stateList" value="36" class="ng-binding ng-scope">Ohio</option><!-- end ngRepeat: state in stateList -->
          <option ng-repeat="state in stateList" value="37" class="ng-binding ng-scope">Oklahoma</option><!-- end ngRepeat: state in stateList -->
          <option ng-repeat="state in stateList" value="38" class="ng-binding ng-scope">Oregon</option><!-- end ngRepeat: state in stateList -->
          <option ng-repeat="state in stateList" value="39" class="ng-binding ng-scope">Pennsylvania</option><!-- end ngRepeat: state in stateList -->
          <option ng-repeat="state in stateList" value="40" class="ng-binding ng-scope">Rhode Island</option><!-- end ngRepeat: state in stateList -->
          <option ng-repeat="state in stateList" value="41" class="ng-binding ng-scope">South Carolina</option><!-- end ngRepeat: state in stateList -->
          <option ng-repeat="state in stateList" value="42" class="ng-binding ng-scope">South Dakota</option><!-- end ngRepeat: state in stateList -->
          <option ng-repeat="state in stateList" value="43" class="ng-binding ng-scope">Tennessee</option><!-- end ngRepeat: state in stateList -->
          <option ng-repeat="state in stateList" value="44" class="ng-binding ng-scope">Texas</option><!-- end ngRepeat: state in stateList -->
          <option ng-repeat="state in stateList" value="45" class="ng-binding ng-scope">Utah</option><!-- end ngRepeat: state in stateList -->
          <option ng-repeat="state in stateList" value="46" class="ng-binding ng-scope">Virginia</option><!-- end ngRepeat: state in stateList -->
          <option ng-repeat="state in stateList" value="47" class="ng-binding ng-scope">Vermont</option><!-- end ngRepeat: state in stateList -->
          <option ng-repeat="state in stateList" value="48" class="ng-binding ng-scope">Washington</option><!-- end ngRepeat: state in stateList -->
          <option ng-repeat="state in stateList" value="49" class="ng-binding ng-scope">Wisconsin</option><!-- end ngRepeat: state in stateList -->
          <option ng-repeat="state in stateList" value="50" class="ng-binding ng-scope">West Virginia</option><!-- end ngRepeat: state in stateList -->
          <option ng-repeat="state in stateList" value="51" class="ng-binding ng-scope">Wyoming</option><!-- end ngRepeat: state in stateList -->
        </select>
      </div>
      <div class="col-md-6 ng-hide" ng-show="getForm().selInstitutionState.$error.requiredToSave &amp;&amp; selInstitutionState.hasHadFocus">
        <span class="help-block ng-binding" name=" State is required."> State is required.</span>
      </div>
    </div>
  </div>
  <div class="form-group ng-hide" data-ng-show="stateList.length == 0">
    <label class="control-label ng-binding" for="txtInstitutionStateOther"> State - Other</label>
    <div class="row">
      <div class="col-md-6">
        <input class="form-control ng-pristine ng-untouched ng-valid ng-empty" type="text" name="txtInstitutionStateOther" data-ng-model="model.StateOther">
      </div>
      <div class="col-md-6 ng-hide" ng-show="(getForm().txtInstitutionStateOther.$error.requiredToSave) &amp;&amp; txtInstitutionStateOther.hasHadFocus">
        <span class="help-block ng-binding" name=" State is required."> State is required.</span>
      </div>
    </div>
  </div>
  <div class="form-group">
    <label class="control-label ng-binding" for="txtInstitutionCity"> City</label>
    <div class="row">
      <div class="col-md-6">
        <input class="form-control ng-pristine ng-untouched ng-valid ng-empty ng-valid-required-to-save" type="text" name="txtInstitutionCity" data-ng-model="model.City" data-ciee-required-to-save="showWriteIn || showAltWriteIn">
      </div>
      <div class="col-md-6 ng-hide" ng-show="(getForm().txtInstitutionCity.$error.requiredToSave) &amp;&amp; txtInstitutionCity.hasHadFocus">
        <span class="help-block ng-binding" name=" City is required."> City is required.</span>
      </div>
    </div>
  </div>
  <div class="form-group">
    <label class="control-label ng-binding" for="txtInstitutionName"> Name</label>
    <div class="row">
      <div class="col-md-6">
        <input class="form-control ng-pristine ng-untouched ng-valid ng-empty ng-valid-required-to-save" type="text" name="txtInstitutionName" data-ng-model="model.InstitutionName" data-ciee-required-to-save="showWriteIn || showAltWriteIn">
      </div>
      <div class="col-md-6 ng-hide" ng-show="(getForm().txtInstitutionName.$error.requiredToSave) &amp;&amp; txtInstitutionName.hasHadFocus">
        <span class="help-block ng-binding" name=" Name is required."> Name is required.</span>
      </div>
    </div>
  </div>
  <button class="btn btn-default" ng-click="CancelWriteIn()">Cancel</button>
  <button class="btn btn-primary ng-binding" ng-click="addInstitution()" ng-disabled="(!getForm().$dirty || !getForm().$valid)">Save </button>
</form>

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