campusAmbassadorForm.html 6.46 KB
<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">
  </div>
  </div>
  <!-- CLOSE HEADER -->
  <form name="campusAmbassadorForm">  
     <div class="col-xs-12 col-md-8 col-md-offset-2">
        <div class="form-all">
           <h4 class="title">CAMPUS AMBASSADOR FORM</h4>
           <div class="col-xs-12 col-md-8 col-md-offset-2 input-wrapper" style="color: #FF6600;">GENERAL DETAILS</div>
            <div class="col-xs-12 col-md-8 col-md-offset-2 input-wrapper" >
                <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." 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="text" class="form-control" ng-model="data.collegeName" required>
                </div>
                <div class="form-group">
                    <label>State of your College:</label>
                    <input type="text" class="form-control" ng-model="data.collegeState" required>
                </div>
            </div>
            <div class="col-xs-12 col-md-8 col-md-offset-2 input-wrapper" style="color: #FF6600;">EVENT</div>
            <div class="col-xs-12 col-md-8 col-md-offset-2 input-wrapper">In this section, let us know about the event you plan to organize under Startup Jalsa Ideate Edition. We understand that some of the information you enter here could be tentative. </div>
            <div class="col-xs-12 col-md-8 col-md-offset-2 input-wrapper" >
                <div class="form-group">
                    <label>Workshop Name:</label>
                    <input type="name" 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="stage" 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="email" 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="text" 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="text" class="form-control" ng-model="data.people" placeholder=" If you are not sure, give us your best guess. " required>
                </div>
            </div>
            <div class="col-xs-12 col-md-8 col-md-offset-2 input-wrapper" style="color: #FF6600;">ABOUT YOU</div>
            <div class="col-xs-12 col-md-8 col-md-offset-2 input-wrapper" >
                <div class="form-group">
                    <label> What are you passionate about in your own life?</label>
                    <input type="name" 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="email" 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="text" 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="text" class="form-control" ng-model="data.task" required>
                </div>
            </div>
            <div class="clearfix"></div>
            <div class="text-center">
                <input type="submit" class="btn submit-button-form" style="outline: none;" value="Submit" ng-click="formRegister()">
            </div>
        </div>
  </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>