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pages/campusAmbassadorForm.html
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<div class="header">
<div>
<!-- <img src="images/LOGO.png" class="logojalsa"><span class="jalsaheadr" style="">2018</span> -->
<!-- <img src="images/SartupJalsa_Logo.png" style="width:200px;position:relative;"> -->
</div>
<div class="clearfix"></div>
<div class="myLoaderWrap" ng-show="loading">
<img class="ajax-loader" src="images/loader.gif">
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<form name="applicantForm"> |
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<div class="col-xs-12 col-md-8 col-md-offset-2">
<div class="form-all">
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<div class="col-xs-12 col-md-8 col-md-offset-2 input-wrapper">
<h4 class="title">CAMPUS AMBASSADOR FORM</h4>
<div style="color: #FF6600;margin-bottom: 15px;">GENERAL DETAILS</div>
<div>
<div class="form-group">
<label>Name:</label>
<input type="name" class="form-control" ng-model="data.name" required>
</div>
<div class="form-group">
<label>Contact Details:</label>
<input type="text" class="form-control" ng-model="data.number" required>
<!-- <label class="error-message f-family" id="invalidNumber">Please enter only numeric value.</label> -->
</div>
<div class="form-group">
<label>Email ID:</label>
<input type="email" class="form-control" ng-model="data.email" required>
</div>
<div class="form-group">
<label>College Name:</label>
<input type="collegeName" class="form-control" ng-model="data.collegeName" required>
</div>
<div class="form-group">
<label>State of your College:</label>
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<select class="form-control" ng-model="data.collegeState" required>
<option name="business" selected disabled value="">Choose State</option>
<option value="Andhra Pradesh">Andhra Pradesh</option>
<option value="Arunachal Pradesh">Arunachal Pradesh</option>
<option value="Assam">Assam</option>
<option value="Bihar">Bihar</option>
<option value="Chhattisgarh">Chhattisgarh</option>
<option value="Goa">Goa</option>
<option value="Gujarat">Gujarat</option>
<option value="Haryana">Haryana</option>
<option value="Himachal Pradesh">Himachal Pradesh</option>
<option value="Jammu and Kashmir">Jammu and Kashmir</option>
<option value="Jharkhand">Jharkhand</option>
<option value="Karnataka">Karnataka</option>
<option value="Kerala">Kerala</option>
<option value="Madhya Pradesh">Madhya Pradesh</option>
<option value="Maharashtra">Maharashtra</option>
<option value="Manipur">Manipur</option>
<option value="Meghalaya">Meghalaya</option>
<option value="Mizoram">Mizoram</option>
<option value="Nagaland">Nagaland</option>
<option value="Odisha">Odisha</option>
<option value="Punjahan">Punjahan</option>
<option value="Sikkim">Sikkim</option>
<option value="Tamil Nadu">Tamil Nadu</option>
<option value="Telangana">Telangana</option>
<option value="Rajasthan">Rajasthan</option>
<option value="Tripura">Tripura</option>
<option value="Uttar Pradesh">Uttar Pradesh</option>
<option value="Uttarakhand">Uttarakhand</option>
<option value="West Bengal">West Bengal</option>
<option value="Andaman and Nicobar Islands">Andaman and Nicobar Islands</option>
<option value="Chandigarh">Chandigarh</option>
<option value="Dadar and Nagar Haveli">Dadar and Nagar Haveli</option>
<option value="Daman and Diu">Daman and Diu</option>
<option value="Delhi">Delhi</option>
<option value="Lakshadweep">Lakshadweep</option>
<option value="Puducherry">Puducherry</option>
</select>
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</div> |
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<div style="color: #FF6600;">Workshops</div>
<div style="margin-bottom: 15px;">In this section, let us know about the workshop you plan to organize under Startup Jalsa Ideate Edition. We understand that some of the information you enter here could be tentative. </div>
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<div>
<div class="form-group">
<label>Workshop Name:</label>
<input type="workshopName" class="form-control" ng-model="data.workshopName" placeholder="University events must be named after the institution (e.g., Ideate IIT Delhi)" required>
</div>
<div class="form-group">
<label>Workshop Type:</label>
<select class="form-control" ng-model="data.workshopType" required>
<option name="workshopType" selected disabled value="">Choose Type</option>
<option value="How to find startup ideas">How to find startup ideas</option>
<option value="How to build a MVP">How to build a MVP</option>
<option value="How to Start a startup">How to Start a startup</option>
<option value="How to create pitch deck">How to create pitch deck</option>
<option value="How to Pitch to investors">How to Pitch to investors</option>
</select>
</div>
<div class="form-group">
<label>Tell us about the local community you will serve with this workshop.</label>
<input type="community" class="form-control" ng-model="data.community" placeholder="Who will be in your intended audience?" required>
</div>
<div class="form-group">
<label>Describe the venue</label>
<input type="venue" class="form-control" ng-model="data.venue" placeholder="Tell us about the place in which you plan to host your workshop. If you are not sure where it will be, tell us the venues you are considering." required>
</div>
<div class="form-group">
<label>How many people will attend your workshop?</label>
<input type="people" class="form-control" ng-model="data.people" placeholder=" If you are not sure, give us your best guess. " required>
</div>
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</div> |
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<div style="color: #FF6600;margin-bottom: 15px;">ABOUT YOU</div>
<div>
<div class="form-group">
<label> What are you passionate about in your own life?</label>
<input type="life" class="form-control" ng-model="data.life" placeholder="E.g., your work, your community, your creative projects ..." required>
</div>
<div class="form-group">
<label>List the events which you have organised before</label>
<input type="events" class="form-control" ng-model="data.events" placeholder=" Provide website/facebook/Instagram link of the event, if available" required>
</div>
<div class="form-group">
<label>What made you decide you wanted to become the Campus Ambassador of Startup Jalsa? What inspired you?</label>
<input type="inspired" class="form-control" ng-model="data.inspired" required>
</div>
<div class="form-group">
<label>What do we need to know about you that we didn't ask?</label>
<input type="task" class="form-control" ng-model="data.task" required>
</div>
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</div>
</div>
<div class="clearfix"></div>
<div class="text-center">
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<input type="submit" class="btn submit-button-form" style="outline: none;" ng-disabled="applicantForm.$invalid" value="Submit" ng-click="formRegister()"> |
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</div>
</div>
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</div> |
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</form>
<!-- CLOSE FORM -->
<!-- </div> CLOSE CHECK VIEW -->
<span ng-show="span == true">
<span id="chennai"></span>
<span id="mumbai"></span>
<span id="hyderabad"></span>
<span id="kolkata"></span>
<span id="delhi"></span>
<span id="ahmedabad"></span>
<span id="bengaluru"></span>
<span id="jaipur"></span>
<span id="kanpur"></span>
<span id="dharamsala"></span>
</span>
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