-
Notifications
You must be signed in to change notification settings - Fork 2
/
Mentor_reg.php
106 lines (88 loc) · 5.02 KB
/
Mentor_reg.php
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
103
104
105
106
<?php
ob_start();
session_start();
?>
<?php include('includes/header.php') ?>
<!-- BLUE WRAP -->
<!-- ***************************************************************************************************************** -->
<div id="blue">
<div class="container">
<div class="row">
<h3>Contact.</h3>
</div>
<!-- /row -->
</div>
<!-- /container -->
</div>
<!-- /blue -->
<div class="container mtb">
<div class="row">
<div class="col-lg-8">
<h4>Mentors get ready to share your knowledge, we got you a platform out here!</h4>
<div class="hline"></div>
<p>Let startups learn from ur experience</p>
<div class="panel-body">
<div class="well" align="center" div class="col-sm-10"><strong>Mentor's Application Form</strong></div>
<div class="container">
<form class="form-horizontal" action="" method="post" role="form">
<div class="form-group">
<label for="Startupname" class="col-sm-2 control-label" id="f">Mentor Name</label>
<div class="col-sm-10">
<input type="text" class="form-control" id="Startupname" placeholder="Enter your Name here" name="mentor_full_name" required>
</div>
</div>
<div class="form-group">
<label for="description" class="col-sm-2 control-label" id="t">Expertise </label>
<div class="col-sm-10">
<textarea type="text" class="form-control" id="description" rows="8" placeholder="Enter your expertise here" name="expertise" required></textarea>
</div>
</div>
<div class="form-group">
<label for="email" class="col-sm-2 control-label" id="l">Personal Email ID</label>
<div class="col-sm-10">
<input type="email" class="form-control" id="email" placeholder="Enter your personal email id" name="mentor_email" required>
</div>
</div>
<div class="form-group">
<label for="number" class="col-sm-2 control-label" id="l">Contact Number</label>
<div class="col-sm-10">
<input type="text" class="form-control" id="number" placeholder="Enter contact number" name="mentor_contact_number" required>
</div>
</div>
<div class="form-group">
<label for="proposal" class="col-sm-2 control-label" id="l">Description</label>
<div class="col-sm-10">
<input type="text" class="form-control" id="proposal" placeholder="Enter your brief description here" name="description" required>
</div>
</div>
<div class="form-group">
<label for="category" class="col-sm-2 control-label" id="l">Designation </label>
<div class="col-sm-10">
<input type="text" class="form-control" id="category" placeholder="Enter your current Designation here" name="designation" required>
</div>
</div>
<div class="form-group">
<label for="years" class="col-sm-2 control-label" id="l">Past Experiences</label>
<div class="col-sm-10">
<textarea type="text" class="form-control" id="description" placeholder="Enter a description of past experience here" name="past_experience" required></textarea>
</div>
</div>
<div class="form-group">
<div class="col-sm-offset-2 col-sm-10">
<div class="checkbox">
<label><input type="checkbox" required>Accept the terms and conditions</label>
</div>
</div>
</div>
<div class="form-group">
<div class="col-sm-offset-8 col-sm-">
<button type="submit" class="btn btn-primary" align="center" name="submit">Apply</button></div>
</div>
</form>
</div>
</div>
</div>
</div>
</div>
<?php include('includes/mentor_register.php') ?>
<?php include('includes/footer.php') ?>