<div class=“form-group”>

<label for="listid_{{urid}}">{{locale_str_mailchimp_listid}}</label>
<select id="listid_{{urid}}" class="form-control" data-validation="required" name="setting_listid">
</select>

</div>

<script type=“text/javascript”>

(function($) {
        "use strict";

        $.getJSON("__api__/mailchimp", function(data) {
                var $listid = $("#listid_{{urid}}");
                $.each(data, function (i, item) {
                        $listid.append($('<option>', {
                                value: item.id,
                                text : item.name
                        }));
                });
                $("option[value=" + {{settings_listid }} + "]", $listid).prop("selected", "selected");
        });

})(jQuery);

</script>