What I'm wondering is if I can use jquery to populate a select-able listing that a user can then choose from for a HTML form. My awesome overlords have decreed that I can only use HTML/CSS/JS for the site coding.

I'm building a configurations portal website, and want to be able to allow for the user to choose from a list of users who have been locked out, and take those choices and submit them via a HTML form to have the account unlocked. Think drop down list, but dynamic and with out having to actually drop the list down.

In case I'm not being clear, I've attached a screenshot of what I'm trying to do.

Any suggestions?