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pages/campusAmbassadorForm.html
1 | 1 | ||
2 | <div class="header"> | 2 | <div class="header"> |
3 | <div> | 3 | <div> |
4 | <!-- <img src="images/LOGO.png" class="logojalsa"><span class="jalsaheadr" style="">2018</span> --> | 4 | <!-- <img src="images/LOGO.png" class="logojalsa"><span class="jalsaheadr" style="">2018</span> --> |
5 | <!-- <img src="images/SartupJalsa_Logo.png" style="width:200px;position:relative;"> --> | 5 | <!-- <img src="images/SartupJalsa_Logo.png" style="width:200px;position:relative;"> --> |
6 | </div> | 6 | </div> |
7 | <div class="clearfix"></div> | 7 | <div class="clearfix"></div> |
8 | <div class="myLoaderWrap" ng-show="loading"> | 8 | <div class="myLoaderWrap" ng-show="loading"> |
9 | <img class="ajax-loader" src="images/loader.gif"> | 9 | <img class="ajax-loader" src="images/loader.gif"> |
10 | </div> | 10 | </div> |
11 | </div> | 11 | </div> |
12 | <!-- CLOSE HEADER --> | 12 | <!-- CLOSE HEADER --> |
13 | <form name="applicantForm"> | 13 | <form name="applicantForm"> |
14 | <div class="col-xs-12 col-md-8 col-md-offset-2"> | 14 | <div class="col-xs-12 col-md-8 col-md-offset-2"> |
15 | <div class="form-all"> | 15 | <div class="form-all"> |
16 | <div class="col-xs-12 col-md-8 col-md-offset-2 input-wrapper"> | 16 | <div class="col-xs-12 col-md-8 col-md-offset-2 input-wrapper"> |
17 | <h4 class="title">CAMPUS AMBASSADOR FORM</h4> | 17 | <h4 class="title">CAMPUS AMBASSADOR FORM</h4> |
18 | <div style="color: #FF6600;margin-bottom: 15px;">GENERAL DETAILS</div> | 18 | <div style="color: #FF6600;margin-bottom: 15px;">GENERAL DETAILS</div> |
19 | <div> | 19 | <div> |
20 | <div class="form-group"> | 20 | <div class="form-group"> |
21 | <label>Name:</label> | 21 | <label>Name:</label> |
22 | <input type="name" class="form-control" ng-model="data.name" required> | 22 | <input type="name" class="form-control" ng-model="data.name" required> |
23 | </div> | 23 | </div> |
24 | <div class="form-group"> | 24 | <div class="form-group"> |
25 | <label>Contact Details:</label> | 25 | <label>Contact Details:</label> |
26 | <input type="text" class="form-control" ng-model="data.number" required> | 26 | <input type="text" class="form-control" ng-model="data.number" required> |
27 | <!-- <label class="error-message f-family" id="invalidNumber">Please enter only numeric value.</label> --> | 27 | <!-- <label class="error-message f-family" id="invalidNumber">Please enter only numeric value.</label> --> |
28 | </div> | 28 | </div> |
29 | <div class="form-group"> | 29 | <div class="form-group"> |
30 | <label>Email ID:</label> | 30 | <label>Email ID:</label> |
31 | <input type="email" class="form-control" ng-model="data.email" required> | 31 | <input type="email" class="form-control" ng-model="data.email" required> |
32 | </div> | 32 | </div> |
33 | <div class="form-group"> | 33 | <div class="form-group"> |
34 | <label>College Name:</label> | 34 | <label>College Name:</label> |
35 | <input type="collegeName" class="form-control" ng-model="data.collegeName" required> | 35 | <input type="collegeName" class="form-control" ng-model="data.collegeName" required> |
36 | </div> | 36 | </div> |
37 | <div class="form-group"> | 37 | <div class="form-group"> |
38 | <label>State of your College:</label> | 38 | <label>State of your College:</label> |
39 | <select class="form-control" ng-model="data.collegeState" required> | 39 | <select class="form-control" ng-model="data.collegeState" required> |
40 | <option name="business" selected disabled value="">Choose State</option> | 40 | <option name="business" selected disabled value="">Choose State</option> |
41 | <option value="Andhra Pradesh">Andhra Pradesh</option> | 41 | <option value="Andhra Pradesh">Andhra Pradesh</option> |
42 | <option value="Arunachal Pradesh">Arunachal Pradesh</option> | 42 | <option value="Arunachal Pradesh">Arunachal Pradesh</option> |
43 | <option value="Assam">Assam</option> | 43 | <option value="Assam">Assam</option> |
44 | <option value="Bihar">Bihar</option> | 44 | <option value="Bihar">Bihar</option> |
45 | <option value="Chhattisgarh">Chhattisgarh</option> | 45 | <option value="Chhattisgarh">Chhattisgarh</option> |
46 | <option value="Goa">Goa</option> | 46 | <option value="Goa">Goa</option> |
47 | <option value="Gujarat">Gujarat</option> | 47 | <option value="Gujarat">Gujarat</option> |
48 | <option value="Haryana">Haryana</option> | 48 | <option value="Haryana">Haryana</option> |
49 | <option value="Himachal Pradesh">Himachal Pradesh</option> | 49 | <option value="Himachal Pradesh">Himachal Pradesh</option> |
50 | <option value="Jammu and Kashmir">Jammu and Kashmir</option> | 50 | <option value="Jammu and Kashmir">Jammu and Kashmir</option> |
51 | <option value="Jharkhand">Jharkhand</option> | 51 | <option value="Jharkhand">Jharkhand</option> |
52 | <option value="Karnataka">Karnataka</option> | 52 | <option value="Karnataka">Karnataka</option> |
53 | <option value="Kerala">Kerala</option> | 53 | <option value="Kerala">Kerala</option> |
54 | <option value="Madhya Pradesh">Madhya Pradesh</option> | 54 | <option value="Madhya Pradesh">Madhya Pradesh</option> |
55 | <option value="Maharashtra">Maharashtra</option> | 55 | <option value="Maharashtra">Maharashtra</option> |
56 | <option value="Manipur">Manipur</option> | 56 | <option value="Manipur">Manipur</option> |
57 | <option value="Meghalaya">Meghalaya</option> | 57 | <option value="Meghalaya">Meghalaya</option> |
58 | <option value="Mizoram">Mizoram</option> | 58 | <option value="Mizoram">Mizoram</option> |
59 | <option value="Nagaland">Nagaland</option> | 59 | <option value="Nagaland">Nagaland</option> |
60 | <option value="Odisha">Odisha</option> | 60 | <option value="Odisha">Odisha</option> |
61 | <option value="Punjahan">Punjahan</option> | 61 | <option value="Punjab">Punjab</option> |
62 | <option value="Sikkim">Sikkim</option> | 62 | <option value="Sikkim">Sikkim</option> |
63 | <option value="Tamil Nadu">Tamil Nadu</option> | 63 | <option value="Tamil Nadu">Tamil Nadu</option> |
64 | <option value="Telangana">Telangana</option> | 64 | <option value="Telangana">Telangana</option> |
65 | <option value="Rajasthan">Rajasthan</option> | 65 | <option value="Rajasthan">Rajasthan</option> |
66 | <option value="Tripura">Tripura</option> | 66 | <option value="Tripura">Tripura</option> |
67 | <option value="Uttar Pradesh">Uttar Pradesh</option> | 67 | <option value="Uttar Pradesh">Uttar Pradesh</option> |
68 | <option value="Uttarakhand">Uttarakhand</option> | 68 | <option value="Uttarakhand">Uttarakhand</option> |
69 | <option value="West Bengal">West Bengal</option> | 69 | <option value="West Bengal">West Bengal</option> |
70 | <option value="Andaman and Nicobar Islands">Andaman and Nicobar Islands</option> | 70 | <option value="Andaman and Nicobar Islands">Andaman and Nicobar Islands</option> |
71 | <option value="Chandigarh">Chandigarh</option> | 71 | <option value="Chandigarh">Chandigarh</option> |
72 | <option value="Dadar and Nagar Haveli">Dadar and Nagar Haveli</option> | 72 | <option value="Dadar and Nagar Haveli">Dadar and Nagar Haveli</option> |
73 | <option value="Daman and Diu">Daman and Diu</option> | 73 | <option value="Daman and Diu">Daman and Diu</option> |
74 | <option value="Delhi">Delhi</option> | 74 | <option value="Delhi">Delhi</option> |
75 | <option value="Lakshadweep">Lakshadweep</option> | 75 | <option value="Lakshadweep">Lakshadweep</option> |
76 | <option value="Puducherry">Puducherry</option> | 76 | <option value="Puducherry">Puducherry</option> |
77 | </select> | 77 | </select> |
78 | </div> | 78 | </div> |
79 | </div> | 79 | </div> |
80 | <div style="color: #FF6600;">Workshops</div> | 80 | <div style="color: #FF6600;">Workshops</div> |
81 | <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> | 81 | <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> |
82 | <div> | 82 | <div> |
83 | <div class="form-group"> | 83 | <div class="form-group"> |
84 | <label>Workshop Name:</label> | 84 | <label>Workshop Name:</label> |
85 | <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> | 85 | <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> |
86 | </div> | 86 | </div> |
87 | <div class="form-group"> | 87 | <div class="form-group"> |
88 | <label>Workshop Type:</label> | 88 | <label>Workshop Type:</label> |
89 | <select class="form-control" ng-model="data.workshopType" required> | 89 | <select class="form-control" ng-model="data.workshopType" required> |
90 | <option name="workshopType" selected disabled value="">Choose Type</option> | 90 | <option name="workshopType" selected disabled value="">Choose Type</option> |
91 | <option value="How to find startup ideas">How to find startup ideas</option> | 91 | <option value="How to find startup ideas">How to find startup ideas</option> |
92 | <option value="How to build a MVP">How to build a MVP</option> | 92 | <option value="How to build a MVP">How to build a MVP</option> |
93 | <option value="How to Start a startup">How to Start a startup</option> | 93 | <option value="How to Start a startup">How to Start a startup</option> |
94 | <option value="How to create pitch deck">How to create pitch deck</option> | 94 | <option value="How to create pitch deck">How to create pitch deck</option> |
95 | <option value="How to Pitch to investors">How to Pitch to investors</option> | 95 | <option value="How to Pitch to investors">How to Pitch to investors</option> |
96 | </select> | 96 | </select> |
97 | </div> | 97 | </div> |
98 | <div class="form-group"> | 98 | <div class="form-group"> |
99 | <label>Tell us about the local community you will serve with this workshop.</label> | 99 | <label>Tell us about the local community you will serve with this workshop.</label> |
100 | <input type="community" class="form-control" ng-model="data.community" placeholder="Who will be in your intended audience?" required> | 100 | <input type="community" class="form-control" ng-model="data.community" placeholder="Who will be in your intended audience?" required> |
101 | </div> | 101 | </div> |
102 | <div class="form-group"> | 102 | <div class="form-group"> |
103 | <label>Describe the venue</label> | 103 | <label>Describe the venue</label> |
104 | <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> | 104 | <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> |
105 | </div> | 105 | </div> |
106 | <div class="form-group"> | 106 | <div class="form-group"> |
107 | <label>How many people will attend your workshop?</label> | 107 | <label>How many people will attend your workshop?</label> |
108 | <input type="people" class="form-control" ng-model="data.people" placeholder=" If you are not sure, give us your best guess. " required> | 108 | <input type="people" class="form-control" ng-model="data.people" placeholder=" If you are not sure, give us your best guess. " required> |
109 | </div> | 109 | </div> |
110 | </div> | 110 | </div> |
111 | <div style="color: #FF6600;margin-bottom: 15px;">ABOUT YOU</div> | 111 | <div style="color: #FF6600;margin-bottom: 15px;">ABOUT YOU</div> |
112 | <div> | 112 | <div> |
113 | <div class="form-group"> | 113 | <div class="form-group"> |
114 | <label> What are you passionate about in your own life?</label> | 114 | <label> What are you passionate about in your own life?</label> |
115 | <input type="life" class="form-control" ng-model="data.life" placeholder="E.g., your work, your community, your creative projects ..." required> | 115 | <input type="life" class="form-control" ng-model="data.life" placeholder="E.g., your work, your community, your creative projects ..." required> |
116 | </div> | 116 | </div> |
117 | <div class="form-group"> | 117 | <div class="form-group"> |
118 | <label>List the events which you have organised before</label> | 118 | <label>List the events which you have organised before</label> |
119 | <input type="events" class="form-control" ng-model="data.events" placeholder=" Provide website/facebook/Instagram link of the event, if available" required> | 119 | <input type="events" class="form-control" ng-model="data.events" placeholder=" Provide website/facebook/Instagram link of the event, if available" required> |
120 | </div> | 120 | </div> |
121 | <div class="form-group"> | 121 | <div class="form-group"> |
122 | <label>What made you decide you wanted to become the Campus Ambassador of Startup Jalsa? What inspired you?</label> | 122 | <label>What made you decide you wanted to become the Campus Ambassador of Startup Jalsa? What inspired you?</label> |
123 | <input type="inspired" class="form-control" ng-model="data.inspired" required> | 123 | <input type="inspired" class="form-control" ng-model="data.inspired" required> |
124 | </div> | 124 | </div> |
125 | <div class="form-group"> | 125 | <div class="form-group"> |
126 | <label>What do we need to know about you that we didn't ask?</label> | 126 | <label>What do we need to know about you that we didn't ask?</label> |
127 | <input type="task" class="form-control" ng-model="data.task" required> | 127 | <input type="task" class="form-control" ng-model="data.task" required> |
128 | </div> | 128 | </div> |
129 | </div> | 129 | </div> |
130 | </div> | 130 | </div> |
131 | <div class="clearfix"></div> | 131 | <div class="clearfix"></div> |
132 | <div class="text-center"> | 132 | <div class="text-center"> |
133 | <input type="submit" class="btn submit-button-form" style="outline: none;" ng-disabled="applicantForm.$invalid" value="Submit" ng-click="formRegister()"> | 133 | <input type="submit" class="btn submit-button-form" style="outline: none;" ng-disabled="applicantForm.$invalid" value="Submit" ng-click="formRegister()"> |
134 | </div> | 134 | </div> |
135 | </div> | 135 | </div> |
136 | </div> | 136 | </div> |
137 | </form> | 137 | </form> |
138 | <!-- CLOSE FORM --> | 138 | <!-- CLOSE FORM --> |
139 | <!-- </div> CLOSE CHECK VIEW --> | 139 | <!-- </div> CLOSE CHECK VIEW --> |
140 | <span ng-show="span == true"> | 140 | <span ng-show="span == true"> |
141 | <span id="chennai"></span> | 141 | <span id="chennai"></span> |
142 | <span id="mumbai"></span> | 142 | <span id="mumbai"></span> |
143 | <span id="hyderabad"></span> | 143 | <span id="hyderabad"></span> |
144 | <span id="kolkata"></span> | 144 | <span id="kolkata"></span> |
145 | <span id="delhi"></span> | 145 | <span id="delhi"></span> |
146 | <span id="ahmedabad"></span> | 146 | <span id="ahmedabad"></span> |
147 | <span id="bengaluru"></span> | 147 | <span id="bengaluru"></span> |
148 | <span id="jaipur"></span> | 148 | <span id="jaipur"></span> |
149 | <span id="kanpur"></span> | 149 | <span id="kanpur"></span> |
150 | <span id="dharamsala"></span> | 150 | <span id="dharamsala"></span> |
151 | </span> | 151 | </span> |
152 | 152 | ||
153 | 153 | ||
154 | 154 | ||
155 | 155 |