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application.html
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<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8" />
<meta name="viewport" content="width=device-width, initial-scale=1.0" />
<title>Alt School Application</title>
</head>
<body>
<form action="./index.html">
<h2>Application Form</h2>
<p>Fill in your details</p>
<fieldset>
<label for="fname">First Name</label>
<input
type="text"
placeholder="Enter first name"
name="fname"
id="fname"
required
/>
<label for="lname">Last Name</label>
<input
type="text"
placeholder="Enter last name"
name="lname"
id="lname"
required
/>
<label for="gender">Gender</label>
<select name="gender" id="gender" required>
<option value="">Select gender</option>
<option value="female">Female</option>
<option value="male">Male</option>
</select>
<label for="dob">Date of Birth</label>
<input type="date" name="dob" required />
<label for="email">Email Address</label>
<input
type="email"
name="email"
placeholder="Enter email Address"
required
/>
<label for="edlevel">Education Level</label>
<select name="edlevel" id="edlevel" required>
<option value="">Select level of education</option>
<option value="bsc">Bsc</option>
<option value="msc">Msc</option>
<option value="diploma">Diploma</option>
<option value="doctorate (phd)">Doctorate (PhD)</option>
<option value="high school / secondary school">
High School / Secondary School
</option>
<option value="undergraduate">Undergraduate</option>
<option value="junior/ middle school">Junior / Middle School</option>
<option value="postgraduate">Postgraduate</option>
</select>
<div class="country">
<label for="country">Country</label>
<select name="country" id="country" required>
<option value="">Select your country</option>
<option value="Afghanistan">Afghanistan</option>
<option value="Albania">Albania</option>
<option value="Algeria">Algeria</option>
<option value="American Samoa">American Samoa</option>
<option value="Andorra">Andorra</option>
<option value="Angola">Angola</option>
<option value="Anguilla">Anguilla</option>
<option value="Antartica">Antarctica</option>
<option value="Antigua and Barbuda">Antigua and Barbuda</option>
<option value="Argentina">Argentina</option>
<option value="Armenia">Armenia</option>
<option value="Aruba">Aruba</option>
<option value="Australia">Australia</option>
<option value="Austria">Austria</option>
<option value="Azerbaijan">Azerbaijan</option>
<option value="Bahamas">Bahamas</option>
<option value="Bahrain">Bahrain</option>
<option value="Bangladesh">Bangladesh</option>
<option value="Barbados">Barbados</option>
<option value="Belarus">Belarus</option>
<option value="Belgium">Belgium</option>
<option value="Belize">Belize</option>
<option value="Benin">Benin</option>
<option value="Bermuda">Bermuda</option>
<option value="Bhutan">Bhutan</option>
<option value="Bolivia">Bolivia</option>
<option value="Bosnia and Herzegowina">
Bosnia and Herzegowina
</option>
<option value="Botswana">Botswana</option>
<option value="Bouvet Island">Bouvet Island</option>
<option value="Brazil">Brazil</option>
<option value="British Indian Ocean Territory">
British Indian Ocean Territory
</option>
<option value="Brunei Darussalam">Brunei Darussalam</option>
<option value="Bulgaria">Bulgaria</option>
<option value="Burkina Faso">Burkina Faso</option>
<option value="Burundi">Burundi</option>
<option value="Cambodia">Cambodia</option>
<option value="Cameroon">Cameroon</option>
<option value="Canada">Canada</option>
<option value="Cape Verde">Cape Verde</option>
<option value="Cayman Islands">Cayman Islands</option>
<option value="Central African Republic">
Central African Republic
</option>
<option value="Chad">Chad</option>
<option value="Chile">Chile</option>
<option value="China">China</option>
<option value="Christmas Island">Christmas Island</option>
<option value="Cocos Islands">Cocos (Keeling) Islands</option>
<option value="Colombia">Colombia</option>
<option value="Comoros">Comoros</option>
<option value="Congo">Congo</option>
<option value="Congo">Congo, the Democratic Republic of the</option>
<option value="Cook Islands">Cook Islands</option>
<option value="Costa Rica">Costa Rica</option>
<option value="Cota D'Ivoire">Cote d'Ivoire</option>
<option value="Croatia">Croatia (Hrvatska)</option>
<option value="Cuba">Cuba</option>
<option value="Cyprus">Cyprus</option>
<option value="Czech Republic">Czech Republic</option>
<option value="Denmark">Denmark</option>
<option value="Djibouti">Djibouti</option>
<option value="Dominica">Dominica</option>
<option value="Dominican Republic">Dominican Republic</option>
<option value="East Timor">East Timor</option>
<option value="Ecuador">Ecuador</option>
<option value="Egypt">Egypt</option>
<option value="El Salvador">El Salvador</option>
<option value="Equatorial Guinea">Equatorial Guinea</option>
<option value="Eritrea">Eritrea</option>
<option value="Estonia">Estonia</option>
<option value="Ethiopia">Ethiopia</option>
<option value="Falkland Islands">
Falkland Islands (Malvinas)
</option>
<option value="Faroe Islands">Faroe Islands</option>
<option value="Fiji">Fiji</option>
<option value="Finland">Finland</option>
<option value="France">France</option>
<option value="France Metropolitan">France, Metropolitan</option>
<option value="French Guiana">French Guiana</option>
<option value="French Polynesia">French Polynesia</option>
<option value="French Southern Territories">
French Southern Territories
</option>
<option value="Gabon">Gabon</option>
<option value="Gambia">Gambia</option>
<option value="Georgia">Georgia</option>
<option value="Germany">Germany</option>
<option value="Ghana">Ghana</option>
<option value="Gibraltar">Gibraltar</option>
<option value="Greece">Greece</option>
<option value="Greenland">Greenland</option>
<option value="Grenada">Grenada</option>
<option value="Guadeloupe">Guadeloupe</option>
<option value="Guam">Guam</option>
<option value="Guatemala">Guatemala</option>
<option value="Guinea">Guinea</option>
<option value="Guinea-Bissau">Guinea-Bissau</option>
<option value="Guyana">Guyana</option>
<option value="Haiti">Haiti</option>
<option value="Heard and McDonald Islands">
Heard and Mc Donald Islands
</option>
<option value="Holy See">Holy See (Vatican City State)</option>
<option value="Honduras">Honduras</option>
<option value="Hong Kong">Hong Kong</option>
<option value="Hungary">Hungary</option>
<option value="Iceland">Iceland</option>
<option value="India">India</option>
<option value="Indonesia">Indonesia</option>
<option value="Iran">Iran (Islamic Republic of)</option>
<option value="Iraq">Iraq</option>
<option value="Ireland">Ireland</option>
<option value="Israel">Israel</option>
<option value="Italy">Italy</option>
<option value="Jamaica">Jamaica</option>
<option value="Japan">Japan</option>
<option value="Jordan">Jordan</option>
<option value="Kazakhstan">Kazakhstan</option>
<option value="Kenya">Kenya</option>
<option value="Kiribati">Kiribati</option>
<option value="Democratic People's Republic of Korea">
Korea, Democratic People's Republic of
</option>
<option value="Korea">Korea, Republic of</option>
<option value="Kuwait">Kuwait</option>
<option value="Kyrgyzstan">Kyrgyzstan</option>
<option value="Lao">Lao People's Democratic Republic</option>
<option value="Latvia">Latvia</option>
<option value="Lebanon" selected>Lebanon</option>
<option value="Lesotho">Lesotho</option>
<option value="Liberia">Liberia</option>
<option value="Libyan Arab Jamahiriya">
Libyan Arab Jamahiriya
</option>
<option value="Liechtenstein">Liechtenstein</option>
<option value="Lithuania">Lithuania</option>
<option value="Luxembourg">Luxembourg</option>
<option value="Macau">Macau</option>
<option value="Macedonia">
Macedonia, The Former Yugoslav Republic of
</option>
<option value="Madagascar">Madagascar</option>
<option value="Malawi">Malawi</option>
<option value="Malaysia">Malaysia</option>
<option value="Maldives">Maldives</option>
<option value="Mali">Mali</option>
<option value="Malta">Malta</option>
<option value="Marshall Islands">Marshall Islands</option>
<option value="Martinique">Martinique</option>
<option value="Mauritania">Mauritania</option>
<option value="Mauritius">Mauritius</option>
<option value="Mayotte">Mayotte</option>
<option value="Mexico">Mexico</option>
<option value="Micronesia">Micronesia, Federated States of</option>
<option value="Moldova">Moldova, Republic of</option>
<option value="Monaco">Monaco</option>
<option value="Mongolia">Mongolia</option>
<option value="Montserrat">Montserrat</option>
<option value="Morocco">Morocco</option>
<option value="Mozambique">Mozambique</option>
<option value="Myanmar">Myanmar</option>
<option value="Namibia">Namibia</option>
<option value="Nauru">Nauru</option>
<option value="Nepal">Nepal</option>
<option value="Netherlands">Netherlands</option>
<option value="Netherlands Antilles">Netherlands Antilles</option>
<option value="New Caledonia">New Caledonia</option>
<option value="New Zealand">New Zealand</option>
<option value="Nicaragua">Nicaragua</option>
<option value="Niger">Niger</option>
<option value="Nigeria">Nigeria</option>
<option value="Niue">Niue</option>
<option value="Norfolk Island">Norfolk Island</option>
<option value="Northern Mariana Islands">
Northern Mariana Islands
</option>
<option value="Norway">Norway</option>
<option value="Oman">Oman</option>
<option value="Pakistan">Pakistan</option>
<option value="Palau">Palau</option>
<option value="Panama">Panama</option>
<option value="Papua New Guinea">Papua New Guinea</option>
<option value="Paraguay">Paraguay</option>
<option value="Peru">Peru</option>
<option value="Philippines">Philippines</option>
<option value="Pitcairn">Pitcairn</option>
<option value="Poland">Poland</option>
<option value="Portugal">Portugal</option>
<option value="Puerto Rico">Puerto Rico</option>
<option value="Qatar">Qatar</option>
<option value="Reunion">Reunion</option>
<option value="Romania">Romania</option>
<option value="Russia">Russian Federation</option>
<option value="Rwanda">Rwanda</option>
<option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
<option value="Saint LUCIA">Saint LUCIA</option>
<option value="Saint Vincent">
Saint Vincent and the Grenadines
</option>
<option value="Samoa">Samoa</option>
<option value="San Marino">San Marino</option>
<option value="Sao Tome and Principe">Sao Tome and Principe</option>
<option value="Saudi Arabia">Saudi Arabia</option>
<option value="Senegal">Senegal</option>
<option value="Seychelles">Seychelles</option>
<option value="Sierra">Sierra Leone</option>
<option value="Singapore">Singapore</option>
<option value="Slovakia">Slovakia (Slovak Republic)</option>
<option value="Slovenia">Slovenia</option>
<option value="Solomon Islands">Solomon Islands</option>
<option value="Somalia">Somalia</option>
<option value="South Africa">South Africa</option>
<option value="South Georgia">
South Georgia and the South Sandwich Islands
</option>
<option value="Span">Spain</option>
<option value="SriLanka">Sri Lanka</option>
<option value="St. Helena">St. Helena</option>
<option value="St. Pierre and Miguelon">
St. Pierre and Miquelon
</option>
<option value="Sudan">Sudan</option>
<option value="Suriname">Suriname</option>
<option value="Svalbard">Svalbard and Jan Mayen Islands</option>
<option value="Swaziland">Swaziland</option>
<option value="Sweden">Sweden</option>
<option value="Switzerland">Switzerland</option>
<option value="Syria">Syrian Arab Republic</option>
<option value="Taiwan">Taiwan, Province of China</option>
<option value="Tajikistan">Tajikistan</option>
<option value="Tanzania">Tanzania, United Republic of</option>
<option value="Thailand">Thailand</option>
<option value="Togo">Togo</option>
<option value="Tokelau">Tokelau</option>
<option value="Tonga">Tonga</option>
<option value="Trinidad and Tobago">Trinidad and Tobago</option>
<option value="Tunisia">Tunisia</option>
<option value="Turkey">Turkey</option>
<option value="Turkmenistan">Turkmenistan</option>
<option value="Turks and Caicos">Turks and Caicos Islands</option>
<option value="Tuvalu">Tuvalu</option>
<option value="Uganda">Uganda</option>
<option value="Ukraine">Ukraine</option>
<option value="United Arab Emirates">United Arab Emirates</option>
<option value="United Kingdom">United Kingdom</option>
<option value="United States">United States</option>
<option value="United States Minor Outlying Islands">
United States Minor Outlying Islands
</option>
<option value="Uruguay">Uruguay</option>
<option value="Uzbekistan">Uzbekistan</option>
<option value="Vanuatu">Vanuatu</option>
<option value="Venezuela">Venezuela</option>
<option value="Vietnam">Viet Nam</option>
<option value="Virgin Islands (British)">
Virgin Islands (British)
</option>
<option value="Virgin Islands (U.S)">Virgin Islands (U.S.)</option>
<option value="Wallis and Futana Islands">
Wallis and Futuna Islands
</option>
<option value="Western Sahara">Western Sahara</option>
<option value="Yemen">Yemen</option>
<option value="Serbia">Serbia</option>
<option value="Zambia">Zambia</option>
<option value="Zimbabwe">Zimbabwe</option>
</select>
</div>
<label for="state">State/City of Residence</label>
<input
type="text"
name="state"
required
placeholder="Enter your state of residence"
/>
<label for="employment-status">Employment Status</label>
<select name="employment-status" id="employment-status" required>
<option value="">Select employment status</option>
<option value="employed">employed</option>
<option value="unemployed">unemployed</option>
<option value="self-employed">self-employed</option>
</select>
<label for="phone-number">Phone Number</label>
<input
type="number"
name="phone-number"
id="phone-number"
placeholder="0815438700"
required
/>
<!-- Validate -->
<label for="school">Choose School</label>
<!-- <input type="search" name="school" id="school"> -->
<select name="school" id="school" required>
<option value="">Select School</option>
<option value="creative-economy">School of Creative Economy</option>
<option value="business">School of Business</option>
<option value="engineering">School of Engineering</option>
<option value="product">School of Product</option>
<option value="data">School of Data</option>
<option value="media">School of Media</option>
</select>
<!-- need to link to input above more research -->
<label for="course-of-study">Choose Course of Study</label>
<!-- needs a dropdown for each school and reflect no data until school is choosen
Unable to that at this point so need some tutorials -->
<label for="hear-about-us">How did you hear about us?</label>
<select name="hear-about-us" id="hear-about-us" required>
<option value="">Select Channel</option>
<option value="twitter">Twitter</option>
<option value="facebook">Facebook</option>
<option value="linkedin">Linkedin</option>
<option value="youtube">Youtube</option>
<option value="friend">Friend</option>
<option value="whatsapp">Whatsapp</option>
<option value=" instagram">Instagram</option>
<option value="billboard">Billboard</option>
<option value="other">Other</option>
</select>
<label for="discount-code">Scholarship/Discount Code (optional)</label>
<input type="text" />
<p>
By clicking continue, I agree to
<a href="https://www.altschoolafrica.com/terms">Terms of Use</a> and
acknowledge that I have read the
<a href="https://www.altschoolafrica.com/policy">Privacy Policy.</a>
</p>
<button type="submit">Proceed</button>
</fieldset>
</form>
</body>
</html>