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This website theme was created with NationBuilder by Ian Patrick Hines.


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//## A description of the tools, systems, and resources used to create this website and keep it operational.

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* Powered by the "Leader" theme by Hines Digital
* Designed & developed by Ian Patrick Hines (https://www.ianpatrickhines.com)
* Based on NationBuilder’s 'Momentum' theme framework

* Copyright 2022-2024 Hines Digital
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* Bootstrap: Copyright 2011-2024 Twitter, Inc.
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* Sass: Copyright (c) 2006–2024 Hampton Catlin, Natalie Weizenbaum, Chris Eppstein, Jina Anne, and numerous contributors.
* Sass: Licensed under MIT (https://github.com/sass/dart-sass/blob/master/LICENSE)

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          <h2 class="page-headline">Your Priorities - Other</h2>
        

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                <form id="poll_other_page_new_feedback_form" class="ajaxForm feedback_form" method="POST" action="/forms/feedbacks"><input name="authenticity_token" type="hidden" value="9MZysbaos79El3wMHsOX5n/Djz160pjllxTyLBvhiIw="/><input name="page_id" type="hidden" value="703"/><input name="return_to" type="hidden" value="https://www.nus.org.uk/poll-other"/><div class="email_address_form" style="display:none;" aria-hidden="true"><p><label for="email_address">Optional email code</label><br/><input name="email_address" type="text" class="text" id="email_address" autocomplete="off"/></p></div>

                <div class="form-errors"></div>

                
                  <div class="form-group">
                    <div class="float-label">
                      <label for="feedback_content">Why is this your priority?</label>
                      <div class="auto-grow">
                        <textarea class="form-control textarea" id="feedback_content" name="feedback[content]"></textarea>
                      </div>
                    </div>
                  </div>
                

                  <div class="form-row">
                    <div class="form-group col-sm-6">
                      <div class="float-label">
                        <label for="feedback_first_name">First name</label>
                        <input class="form-control text" id="feedback_first_name" name="feedback[first_name]" type="text" />
                      </div>
                    </div>

                    <div class="form-group col-sm-6">
                      <div class="float-label">
                        <label for="feedback_last_name">Last name</label>
                        <input class="form-control text" id="feedback_last_name" name="feedback[last_name]" type="text" />
                      </div>
                    </div>
                  </div>
                

                  <div class="form-row">
                    <div class="form-group col-12 col-md">
                      <div class="float-label">
                        <label for="feedback_email">Email</label>
                        <input class="form-control text" id="feedback_email" name="feedback[email]" type="email" />
                      </div>
                    </div>

                    
                  </div>
                

<!-- _page_address_inputs.html -->

<!-- _translation.html -->


<!-- _tag_list.html -->

<!-- /_tag_list.html -->


<!-- _translation_en.html -->


<!-- /_translation_en.html -->

  
<!-- /_translation.html -->


<!-- _hd_translation.html -->


<!-- _tag_list.html -->

<!-- /_tag_list.html -->

 
<!-- /_hd_translation.html -->


<div data-address-inputs>
  <div class="form-group">
    <div class="float-label">
      <label for="feedback_home_address_country_code">Country</label>
      <select id="feedback_home_address_country_code" name="feedback[home_address_attributes][country_code]"  class="custom-select address-inputs-toggle"><option value="AF">Afghanistan</option><option value="AL">Albania</option><option value="DZ">Algeria</option><option value="AS">American Samoa</option><option value="AD">Andorra</option><option value="AO">Angola</option><option value="AI">Anguilla</option><option value="AQ">Antarctica</option><option value="AG">Antigua and Barbuda</option><option value="AR">Argentina</option><option value="AM">Armenia</option><option value="AW">Aruba</option><option value="AU">Australia</option><option value="AT">Austria</option><option value="AZ">Azerbaijan</option><option value="BS">Bahamas</option><option value="BH">Bahrain</option><option value="BD">Bangladesh</option><option value="BB">Barbados</option><option value="BY">Belarus</option><option value="BE">Belgium</option><option value="BZ">Belize</option><option value="BJ">Benin</option><option value="BM">Bermuda</option><option value="BT">Bhutan</option><option value="BO">Bolivia</option><option value="BQ">Bonaire, Sint Eustatius and Saba</option><option value="BA">Bosnia and Herzegovina</option><option value="BW">Botswana</option><option value="BV">Bouvet Island</option><option value="BR">Brazil</option><option value="IO">British Indian Ocean Territory</option><option value="BN">Brunei Darussalam</option><option value="BG">Bulgaria</option><option value="BF">Burkina Faso</option><option value="BI">Burundi</option><option value="KH">Cambodia</option><option value="CM">Cameroon</option><option value="CA">Canada</option><option value="CV">Cape Verde</option><option value="KY">Cayman Islands</option><option value="CF">Central African Republic</option><option value="TD">Chad</option><option value="CL">Chile</option><option value="CN">China</option><option value="CX">Christmas Island</option><option value="CC">Cocos (Keeling) Islands</option><option value="CO">Colombia</option><option value="KM">Comoros</option><option value="CG">Congo</option><option value="CD">Congo, the Democratic Republic of the</option><option value="CK">Cook Islands</option><option value="CR">Costa Rica</option><option value="HR">Croatia</option><option value="CU">Cuba</option><option value="CW">Curaçao</option><option value="CY">Cyprus</option><option value="CZ">Czech Republic</option><option value="CI">Côte d'Ivoire</option><option value="DK">Denmark</option><option value="DJ">Djibouti</option><option value="DM">Dominica</option><option value="DO">Dominican Republic</option><option value="EC">Ecuador</option><option value="EG">Egypt</option><option value="SV">El Salvador</option><option value="GQ">Equatorial Guinea</option><option value="ER">Eritrea</option><option value="EE">Estonia</option><option value="ET">Ethiopia</option><option value="FK">Falkland Islands (Malvinas)</option><option value="FO">Faroe Islands</option><option value="FJ">Fiji</option><option value="FI">Finland</option><option value="FR">France</option><option value="GF">French Guiana</option><option value="PF">French Polynesia</option><option value="TF">French Southern Territories</option><option value="GA">Gabon</option><option value="GM">Gambia</option><option value="GE">Georgia</option><option value="DE">Germany</option><option value="GH">Ghana</option><option value="GI">Gibraltar</option><option value="GR">Greece</option><option value="GL">Greenland</option><option value="GD">Grenada</option><option value="GP">Guadeloupe</option><option value="GU">Guam</option><option value="GT">Guatemala</option><option value="GG">Guernsey</option><option value="GN">Guinea</option><option value="GW">Guinea-Bissau</option><option value="GY">Guyana</option><option value="HT">Haiti</option><option value="HM">Heard Island and McDonald Islands</option><option value="VA">Holy See (Vatican City State)</option><option value="HN">Honduras</option><option value="HK">Hong Kong</option><option value="HU">Hungary</option><option value="IS">Iceland</option><option value="IN">India</option><option value="ID">Indonesia</option><option value="IR">Iran, Islamic Republic of</option><option value="IQ">Iraq</option><option value="IE">Ireland</option><option value="IM">Isle of Man</option><option value="IL">Israel</option><option value="IT">Italy</option><option value="JM">Jamaica</option><option value="JP">Japan</option><option value="JE">Jersey</option><option value="JO">Jordan</option><option value="KZ">Kazakhstan</option><option value="KE">Kenya</option><option value="KI">Kiribati</option><option value="KW">Kuwait</option><option value="KG">Kyrgyzstan</option><option value="LA">Lao People's Democratic Republic</option><option value="LV">Latvia</option><option value="LB">Lebanon</option><option value="LS">Lesotho</option><option value="LR">Liberia</option><option value="LY">Libya</option><option value="LI">Liechtenstein</option><option value="LT">Lithuania</option><option value="LU">Luxembourg</option><option value="MO">Macao</option><option value="MG">Madagascar</option><option value="MW">Malawi</option><option value="MY">Malaysia</option><option value="MV">Maldives</option><option value="ML">Mali</option><option value="MT">Malta</option><option value="MH">Marshall Islands</option><option value="MQ">Martinique</option><option value="MR">Mauritania</option><option value="MU">Mauritius</option><option value="YT">Mayotte</option><option value="MX">Mexico</option><option value="FM">Micronesia, Federated States of</option><option value="MD">Moldova, Republic of</option><option value="MC">Monaco</option><option value="MN">Mongolia</option><option value="ME">Montenegro</option><option value="MS">Montserrat</option><option value="MA">Morocco</option><option value="MZ">Mozambique</option><option value="MM">Myanmar</option><option value="NA">Namibia</option><option value="NR">Nauru</option><option value="NP">Nepal</option><option value="NL">Netherlands</option><option value="NC">New Caledonia</option><option value="NZ">New Zealand</option><option value="NI">Nicaragua</option><option value="NE">Niger</option><option value="NG">Nigeria</option><option value="NU">Niue</option><option value="NF">Norfolk Island</option><option value="KP">North Korea</option><option value="MK">North Macedonia, Republic of</option><option value="MP">Northern Mariana Islands</option><option value="NO">Norway</option><option value="OM">Oman</option><option value="PK">Pakistan</option><option value="PW">Palau</option><option value="PS">Palestine, State of</option><option value="PA">Panama</option><option value="PG">Papua New Guinea</option><option value="PY">Paraguay</option><option value="PE">Peru</option><option value="PH">Philippines</option><option value="PN">Pitcairn</option><option value="PL">Poland</option><option value="PT">Portugal</option><option value="PR">Puerto Rico</option><option value="QA">Qatar</option><option value="RO">Romania</option><option value="RU">Russian Federation</option><option value="RW">Rwanda</option><option value="RE">Réunion</option><option value="BL">Saint Barthélemy</option><option value="SH">Saint Helena, Ascension and Tristan da Cunha</option><option value="KN">Saint Kitts and Nevis</option><option value="LC">Saint Lucia</option><option value="MF">Saint Martin (French part)</option><option value="PM">Saint Pierre and Miquelon</option><option value="VC">Saint Vincent and the Grenadines</option><option value="WS">Samoa</option><option value="SM">San Marino</option><option value="ST">Sao Tome and Principe</option><option value="SA">Saudi Arabia</option><option value="SN">Senegal</option><option value="RS">Serbia</option><option value="SC">Seychelles</option><option value="SL">Sierra Leone</option><option value="SG">Singapore</option><option value="SX">Sint Maarten (Dutch part)</option><option value="SK">Slovakia</option><option value="SI">Slovenia</option><option value="SB">Solomon Islands</option><option value="SO">Somalia</option><option value="ZA">South Africa</option><option value="GS">South Georgia and the South Sandwich Islands</option><option value="KR">South Korea</option><option value="SS">South Sudan</option><option value="ES">Spain</option><option value="LK">Sri Lanka</option><option value="SD">Sudan</option><option value="SR">Suriname</option><option value="SJ">Svalbard and Jan Mayen</option><option value="SZ">Swaziland</option><option value="SE">Sweden</option><option value="CH">Switzerland</option><option value="SY">Syrian Arab Republic</option><option value="TW">Taiwan</option><option value="TJ">Tajikistan</option><option value="TZ">Tanzania, United Republic of</option><option value="TH">Thailand</option><option value="TL">Timor-Leste</option><option value="TG">Togo</option><option value="TK">Tokelau</option><option value="TO">Tonga</option><option value="TT">Trinidad and Tobago</option><option value="TN">Tunisia</option><option value="TR">Turkey</option><option value="TM">Turkmenistan</option><option value="TC">Turks and Caicos Islands</option><option value="TV">Tuvalu</option><option value="UG">Uganda</option><option value="UA">Ukraine</option><option value="AE">United Arab Emirates</option><option value="GB" selected="selected">United Kingdom</option><option value="US">United States</option><option value="UM">United States Minor Outlying Islands</option><option value="UY">Uruguay</option><option value="UZ">Uzbekistan</option><option value="VU">Vanuatu</option><option value="VE">Venezuela, Bolivarian Republic of</option><option value="VN">Viet Nam</option><option value="VG">Virgin Islands, British</option><option value="VI">Virgin Islands, U.S.</option><option value="WF">Wallis and Futuna</option><option value="EH">Western Sahara</option><option value="YE">Yemen</option><option value="ZM">Zambia</option><option value="ZW">Zimbabwe</option><option value="AX">Åland Islands</option></select>
    </div>
  </div>

  <div data-address-inputs-slot></div>

  
  <div data-address-inputs-group="US">
    <div class="form-group">
      <div class="float-label">
        <label for="feedback_home_address_address1">Street address</label>
        <input class="text form-control" id="feedback_home_address_address1" name="feedback[home_address_attributes][address1]" type="text" />
      </div>
    </div>

    <div class="form-group">
      <div class="float-label">
        <label for="feedback_home_address_address2">Apt, suite, etc.</label>
        <input class="text form-control" id="feedback_home_address_address2" name="feedback[home_address_attributes][address2]" type="text" />
      </div>
    </div>

    <div class="form-row">
      <div class="form-group col-12 col-md-6">
        <div class="float-label">
          <label for="feedback_home_address_city">City</label>
          <input class="text form-control" id="feedback_home_address_city" name="feedback[home_address_attributes][city]" type="text" />
        </div>
      </div>

      <div class="form-group col-12 col-md-6">
        <div class="float-label">
          <label for="feedback_home_address_state">State</label>
          <select id="feedback_home_address_state" name="feedback[home_address_attributes][state]"  class="custom-select"><option value="" selected="selected"></option><option value="AL">Alabama</option><option value="AK">Alaska</option><option value="AS">American Samoa</option><option value="AZ">Arizona</option><option value="AR">Arkansas</option><option value="AA">Armed Forces Americas</option><option value="AE">Armed Forces Europe</option><option value="AP">Armed Forces Pacific</option><option value="CA">California</option><option value="CO">Colorado</option><option value="CT">Connecticut</option><option value="DE">Delaware</option><option value="DC">District of Columbia</option><option value="FM">Federated States of Micronesia</option><option value="FL">Florida</option><option value="GA">Georgia</option><option value="GU">Guam</option><option value="HI">Hawaii</option><option value="ID">Idaho</option><option value="IL">Illinois</option><option value="IN">Indiana</option><option value="IA">Iowa</option><option value="KS">Kansas</option><option value="KY">Kentucky</option><option value="LA">Louisiana</option><option value="ME">Maine</option><option value="MH">Marshall Islands</option><option value="MD">Maryland</option><option value="MA">Massachusetts</option><option value="MI">Michigan</option><option value="MN">Minnesota</option><option value="MS">Mississippi</option><option value="MO">Missouri</option><option value="MT">Montana</option><option value="NE">Nebraska</option><option value="NV">Nevada</option><option value="NH">New Hampshire</option><option value="NJ">New Jersey</option><option value="NM">New Mexico</option><option value="NY">New York</option><option value="NC">North Carolina</option><option value="ND">North Dakota</option><option value="OH">Ohio</option><option value="OK">Oklahoma</option><option value="OR">Oregon</option><option value="PW">Palau</option><option value="PA">Pennsylvania</option><option value="PR">Puerto Rico</option><option value="RI">Rhode Island</option><option value="SC">South Carolina</option><option value="SD">South Dakota</option><option value="TN">Tennessee</option><option value="TX">Texas</option><option value="UT">Utah</option><option value="VT">Vermont</option><option value="VI">Virgin Island</option><option value="VA">Virginia</option><option value="WA">Washington</option><option value="WV">West Virginia</option><option value="WI">Wisconsin</option><option value="WY">Wyoming</option></select>
        </div>
      </div>
    </div>

    <div class="form-row">
      <div class="form-group col-md-6">
        <div class="float-label">
          <label for="feedback_home_address_zip">Zip code</label>
          <input class="text form-control" id="feedback_home_address_zip" name="feedback[home_address_attributes][zip]" type="text" />
        </div>
      </div>
    </div>
  </div>

  
  <div data-address-inputs-group="CA">
    <div class="form-group">
      <div class="float-label">
        <label for="feedback_home_address_address1">Street address</label>
        <input class="text form-control" id="feedback_home_address_address1" name="feedback[home_address_attributes][address1]" type="text" />
      </div>
    </div>

    <div class="form-row">
      <div class="form-group col-md-6">
        <div class="float-label">
          <label for="feedback_home_address_address2">Apt, suite, etc.</label>
          <input class="text form-control" id="feedback_home_address_address2" name="feedback[home_address_attributes][address2]" type="text" />
        </div>
      </div>

      <div class="form-group col-md-6">
        <div class="float-label">
          <label for="feedback_home_address_city">City</label>
          <input class="text form-control" id="feedback_home_address_city" name="feedback[home_address_attributes][city]" type="text" />
        </div>
      </div>
    </div>

    <div class="form-row">
      <div class="form-group col-md-6">
        <div class="float-label">
          <label for="feedback_home_address_county">Province</label>
          <input class="text form-control" id="feedback_home_address_county" name="feedback[home_address_attributes][county]" type="text" />
        </div>
      </div>

      <div class="form-group col-md-6">
        <div class="float-label">
          <label for="feedback_home_address_state">Postal code</label>
          <input class="text form-control" id="feedback_home_address_state" name="feedback[home_address_attributes][state]" type="text" />
        </div>
      </div>
    </div>
  </div>

  
  <div data-address-inputs-group="AU">
    <div class="form-group">
      <div class="float-label">
        <label for="feedback_home_address_address1">Street address</label>
        <input class="text form-control" id="feedback_home_address_address1" name="feedback[home_address_attributes][address1]" type="text" />
      </div>
    </div>

    <div class="form-row">
      <div class="form-group col-md-6">
        <div class="float-label">
          <label for="feedback_home_address_address2">Apt, suite, etc.</label>
          <input class="text form-control" id="feedback_home_address_address2" name="feedback[home_address_attributes][address2]" type="text" />
        </div>
      </div>

      <div class="form-group col-md-6">
        <div class="float-label">
          <label for="feedback_home_address_city">City/Suburb</label>
          <input class="text form-control" id="feedback_home_address_city" name="feedback[home_address_attributes][city]" type="text" />
        </div>
      </div>
    </div>

    <div class="form-row">
      <div class="form-group col-md-6">
        <div class="float-label">
          <label for="feedback_home_address_zip">Postal code</label>
          <input class="text form-control" id="feedback_home_address_zip" name="feedback[home_address_attributes][zip]" type="text" />
        </div>
      </div>

      <div class="form-group col-md-6">
        <div class="float-label">
          <label for="feedback_home_address_state">State/territory</label>
          <input class="text form-control" id="feedback_home_address_state" name="feedback[home_address_attributes][state]" type="text" />
        </div>
      </div>
    </div>
  </div>

  
  <div data-address-inputs-group="NZ">
    <div class="form-group">
      <div class="float-label">
        <label for="feedback_home_address_address1">Street address</label>
        <input class="text form-control" id="feedback_home_address_address1" name="feedback[home_address_attributes][address1]" type="text" />
      </div>
    </div>

    <div class="form-row">
      <div class="form-group col-md-6">
        <div class="float-label">
          <label for="feedback_home_address_address2">Apt, suite, etc.</label>
          <input class="text form-control" id="feedback_home_address_address2" name="feedback[home_address_attributes][address2]" type="text" />
        </div>
      </div>

      <div class="form-group col-md-6">
        <div class="float-label">
          <label for="feedback_home_address_city">City</label>
          <input class="text form-control" id="feedback_home_address_city" name="feedback[home_address_attributes][city]" type="text" />
        </div>
      </div>
    </div>

    <div class="form-group">
      <div class="float-label">
        <label for="feedback_home_address_zip">Postal code</label>
        <input class="text form-control" id="feedback_home_address_zip" name="feedback[home_address_attributes][zip]" type="text" />
      </div>
    </div>
  </div>

  
  <div data-address-inputs-group="GB">
    <div class="form-group">
      <div class="float-label">
        <label for="feedback_home_address_address1">Building number and street name</label>
        <input class="text form-control" id="feedback_home_address_address1" name="feedback[home_address_attributes][address1]" type="text" />
      </div>
    </div>

    <div class="form-row">
      <div class="form-group col-md-6">
        <div class="float-label">
          <label for="feedback_home_address_address2">Address 2</label>
          <input class="text form-control" id="feedback_home_address_address2" name="feedback[home_address_attributes][address2]" type="text" />
        </div>
      </div>

      <div class="form-group col-md-6">
        <div class="float-label">
          <label for="feedback_home_address_city">City</label>
          <input class="text form-control" id="feedback_home_address_city" name="feedback[home_address_attributes][city]" type="text" />
        </div>
      </div>
    </div>

    <div class="form-group">
      <div class="float-label">
        <label for="feedback_home_address_zip">Postcode</label>
        <input class="text form-control" id="feedback_home_address_zip" name="feedback[home_address_attributes][zip]" type="text" />
      </div>
    </div>
  </div>

  
  <div data-address-inputs-group="IT">
    <div class="form-group">
      <div class="float-label">
        <label for="feedback_home_address_address1">Street and building number</label>
        <input class="text form-control" id="feedback_home_address_address1" name="feedback[home_address_attributes][address1]" type="text" />
      </div>
    </div>

    <div class="form-row">
      <div class="form-group col-md-6">
        <div class="float-label">
          <label for="feedback_home_address_address2">Apt, suite, etc.</label>
          <input class="text form-control" id="feedback_home_address_address2" name="feedback[home_address_attributes][address2]" type="text" />
        </div>
      </div>

      <div class="form-group col-md-6">
        <div class="float-label">
          <label for="feedback_home_address_zip">Postal code</label>
          <input class="text form-control" id="feedback_home_address_zip" name="feedback[home_address_attributes][zip]" type="text" />
        </div>
      </div>
    </div>

    <div class="form-row">
      <div class="form-group col-md-6">
        <div class="float-label">
          <label for="feedback_home_address_city">City</label>
          <input class="text form-control" id="feedback_home_address_city" name="feedback[home_address_attributes][city]" type="text" />
        </div>
      </div>

      <div class="form-group col-md-6">
        <div class="float-label">
          <label for="feedback_home_address_state">Province</label>
          <input class="text form-control" id="feedback_home_address_state" name="feedback[home_address_attributes][state]" type="text" />
        </div>
      </div>
    </div>
  </div>

  
  <div data-address-inputs-group="FR">
    <div class="form-group">
      <div class="float-label">
        <label for="feedback_home_address_address1">Street address</label>
        <input class="text form-control" id="feedback_home_address_address1" name="feedback[home_address_attributes][address1]" type="text" />
      </div>
    </div>

    <div class="form-row">
      <div class="form-group col-md-6">
        <div class="float-label">
          <label for="feedback_home_address_address2">Apartment, suite, etc.</label>
          <input class="text form-control" id="feedback_home_address_address2" name="feedback[home_address_attributes][address2]" type="text" />
        </div>
      </div>

      <div class="form-group col-md-6">
        <div class="float-label">
          <label for="feedback_home_address_zip">Postal code</label>
          <input class="text form-control" id="feedback_home_address_zip" name="feedback[home_address_attributes][zip]" type="text" />
        </div>
      </div>
    </div>

    <div class="form-group">
      <div class="float-label">
        <label for="feedback_home_address_city">City</label>
        <input class="text form-control" id="feedback_home_address_city" name="feedback[home_address_attributes][city]" type="text" />
      </div>
    </div>
  </div>

  
  <div data-address-inputs-group="NEC">
    <div class="form-group">
      <div class="float-label">
        <label for="feedback_home_address_address1">Street and building number</label>
        <input class="text form-control" id="feedback_home_address_address1" name="feedback[home_address_attributes][address1]" type="text" />
      </div>
    </div>

    <div class="form-group">
      <div class="float-label">
        <label for="feedback_home_address_address2">Apt, suite, etc.</label>
        <input class="text form-control" id="feedback_home_address_address2" name="feedback[home_address_attributes][address2]" type="text" />
      </div>
    </div>

    <div class="form-row">
      <div class="form-group col-md-6">
        <div class="float-label">
          <label for="feedback_home_address_zip">Postal code</label>
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