-
Notifications
You must be signed in to change notification settings - Fork 0
Expand file tree
/
Copy pathForm.html
More file actions
102 lines (98 loc) · 6.54 KB
/
Form.html
File metadata and controls
102 lines (98 loc) · 6.54 KB
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
<!DOCTYPE html>
<html>
<head>
<meta name="viewport" content="width=device-width, initial-scale=1, user-scalable=no" />
<meta charset="UTC-8">
<title style="display: none;"> Enroll Now </title>
<link href="./assets/Form.css" rel="stylesheet">
</head>
<body>
<div class="container">
<section class="header">
<img src="./assets/LOGOOO.png">
</section>
<section class="form-description">
<div class="form-cont">
<h1 class="form-title">
Enrollment Form
</h1>
<p class="form-text">
Congratulations on taking the first step to a career in software development! Start by filling up this application form, and our team will reach out to guide you through the process.
</p>
</div>
</section>
<form class="form">
<div class="form-tab">
<p class="form-question">1. What is your full name? *</p>
<input type="text" name="name" class="full-name" placeholder="Name" required>
</div>
<div class="form-tab">
<p class="form-question">2. Are you 18 years old or older? *</p>
<input type="radio" name="age18" id="yes" value="yes" class="input-radio" required>
<label for="yes">Yes</label> </br>
<input type="radio" name="age18" id="no" value="no" class="input-radio" required>
<label for="no">No</label> </br>
</div>
<div class="form-tab">
<p class="form-question">3. What is your email address? *</p>
<input type="email" name="email" class="e-mail" placeholder="Email" required>
</div>
<div class="form-tab">
<p class="form-question">4. What is your cellphone number? *</p>
<input type="tel" name="cellphoneNumber" class="cellphone-number" placeholder="0912-345-6789" required>
</div>
<div class="form-tab">
<p class="form-question">5. Where do you reside? *</p>
<input type="text" name="name" class="residency" placeholder="Quezon City" required>
</div>
<div class="form-tab">
<p class="form-question">6. What type of class do you wish to enroll in? *</p>
<input type="radio" name="class-sched" id="full-time" value="full-time" class="input-radio">
<label for="full-time">Full-time Course: M-F (9am-6pm)</label> </br>
<input type="radio" name="class-sched" id="part-time" value="part-time" class="input-radio">
<label for="part-time">Part-time Course: M,T,W,F (7pm-9pm) & Sat (9am-1pm)</label> </br>
</div>
<div class="form-tab">
<p class="form-question">7. Will you be able to attend for 95% or more of our live sessions in their entirety? *</p>
<p class="line-two">Avion School's full-time program runs weekdays from 10am to 6pm for around 12 weeks, depending on holiday schedules. </p>
<input type="radio" name="attendance" id="yes" value="yes" class="input-radio" required>
<label for="yes">Yes</label></br>
<input type="radio" name="attendance" id="no" value="no" class="input-radio" required>
<label for="no">No</label></br>
</div>
<div class="form-tab">
<p class="form-question">8. If accepted, which payment method will you be using? *</p>
<input type="radio" name="payment" id="income-share" value="income-share" class="input-radio">
<label for="income-share">Income Share Agreement Option: Php 0 upfront + 2 year, 17% income share agreement</label></br>
<input type="radio" name="payment" id="upfront" value="upfront" class="input-radio">
<label for="upfront">Upfront Payment: Php 80,000</label></br>
</div>
<div class="form-tab">
<p class="form-question">9. Which of the following best describes your programming experience? *</p>
<p class="line-two">This will not affect whether we accept you or not. We're just trying to understand the experience of those applying to our school.</p>
<p class="line-two">Choose as many as you like:</p>
<div class="checkboxChoices">
<input type="checkbox" name="programExp" id="no-experience" value="no-experience" class="input-checkbox">
<label for="no-experience">No experience: but I’m excited to start learning</label></br>
<input type="checkbox" name="programExp" id="beginning-learner" value="beginning-learner" class="input-checkbox">
<label for="beginning-learner">Beginning learner: I’ve played with some introductory coding lessons and tutorials</label></br>
<input type="checkbox" name="programExp" id="intermediate-learner" value="intermediate-learner" class="input-checkbox">
<label for="intermediate-learner">Intermediate learner: I have completed some coding classes or tutorials</label></br>
<input type="checkbox" name="programExp" id="advanced" value="advanced" class="input-checkbox">
<label for="advanced">Advanced: I can create simple applications</label></br>
<input type="checkbox" name="programExp" id="professional" value="professional" class="input-checkbox">
<label for="professional">Professional: I am an experienced software engineer and want to upgrade my skills</label></br>
</div>
</div>
<div class="form-tab">
<p class="form-question">10. Who referred you/how did you hear of Avion School? </p>
<p class="line-two">Please enter the person or organization's name here.</p>
<input type="text" name="referral" class="who-refer" placeholder="Name or Organization">
</div>
<div class="form-tab">
<button type="submit" id="submit" class="submit">Submit</button>
</div>
</form>
</div>
</body>
</html>