<label class="col-md-3 control-label"><?php
echo _t('SAT Verbal/Math');
?>
</label>
<div class="col-md-4">
<input class="form-control" type="text" name="SAT_Verbal" />
</div>
<div class="col-md-4">
<input class="form-control" type="text" name="SAT_Math" />
</div>
</div>
<!-- // Group END -->
<!-- Group -->
<div class="form-group<?php
echo etsis_field_css_class('appl_act_english');
?>
">
<label class="col-md-3 control-label"><?php
echo _t('ACT English/Math');
?>
</label>
<div class="col-md-4">
<input class="form-control" type="text" name="ACT_English" />
</div>
<div class="col-md-4">
<input class="form-control" type="text" name="ACT_Math" />
</div>
</div>
<!-- // Group END -->
</option>
<option value="0"<?php
echo selected('0', $_POST['veteran'], false);
?>
><?php
echo _t('No');
?>
</option>
</select>
</div>
</div>
<!-- // Group END -->
<!-- Group -->
<div class="form-group<?php
echo etsis_field_css_class('nae_ethnicity');
?>
">
<label class="col-md-3 control-label"><?php
echo _t('Ethnicity?');
?>
</label>
<div class="col-md-8">
<select name="ethnicity" class="selectpicker form-control" data-style="btn-info" data-size="10" data-live-search="true" >
<option value=""> </option>
<option value="White, Non-Hispanic"<?php
echo selected('White, Non-Hispanic', $_POST['ethnicity'], false);
?>
><?php
echo _t('White, Non-Hispanic');
?>
