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145 lines (121 loc) · 4.73 KB
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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>Instructor Registration Form</title>
<style>
body {
font-family: Arial, sans-serif;
background-color: #f7f7f7;
margin: 0;
padding: 0;
display: flex;
justify-content: center;
align-items: center;
}
form {
background-color: #ffffff;
padding: 40px;
border-radius: 8px;
box-shadow: 0px 4px 10px rgba(0, 0, 0, 0.1);
max-width: 400px;
width: 100%;
}
h2 {
margin-bottom: 30px;
text-align: center;
}
label {
display: block;
font-weight: bold;
margin-bottom: 5px;
}
input[type="text"],
input[type="email"],
select,
textarea {
width: 100%;
padding: 10px;
margin-bottom: 20px;
border: 1px solid #cccccc;
border-radius: 5px;
box-sizing: border-box;
font-size: 16px;
}
select {
appearance: none;
-webkit-appearance: none;
-moz-appearance: none;
background-image: url('data:image/svg+xml;utf8,<svg fill="#000000" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 24 24" width="24px" height="24px"><path d="M7 10l5 5 5-5z"/></svg>');
background-repeat: no-repeat;
background-position-x: calc(100% - 10px);
background-position-y: 50%;
}
textarea {
resize: vertical;
height: 100px;
}
input[type="submit"] {
background-color: #4CAF50;
border: none;
color: white;
padding: 15px 20px;
text-align: center;
text-decoration: none;
display: inline-block;
font-size: 16px;
border-radius: 5px;
cursor: pointer;
width: 100%;
transition: background-color 0.3s;
}
input[type="submit"]:hover {
background-color: #45a049;
}
</style>
</head>
<body>
<form action="#" method="post">
<h2>Instructor Registration Form</h2>
<label for="fullname">Full Name:</label>
<input type="text" id="fullname" name="fullname" required>
<label for="gender">Gender:</label>
<select id="gender" name="gender" required>
<option value="">Select Gender</option>
<option value="male">Male</option>
<option value="female">Female</option>
<option value="other">Other</option>
</select>
<label for="dob">Date of Birth:</label>
<input type="date" id="dob" name="dob" required>
<label for="phone">Contact Number:</label>
<input type="text" id="phone" name="phone" required>
<label for="email">Email Address:</label>
<input type="email" id="email" name="email" required>
<label for="address">Address:</label>
<input type="text" id="address" name="address" required>
<label for="education">Educational Background:</label>
<input type="text" id="education" name="education" required>
<label for="certifications">Certifications (if any):</label>
<input type="text" id="certifications" name="certifications">
<label for="experience">Professional Experience (years):</label>
<input type="text" id="experience" name="experience" required>
<label for="specializations">Specializations:</label>
<input type="text" id="specializations" name="specializations">
<label for="subjects">Preferred Subjects/Courses to Teach:</label>
<input type="text" id="subjects" name="subjects">
<label for="agegroup">Preferred Age Group:</label>
<input type="text" id="agegroup" name="agegroup">
<label for="methodology">Preferred Teaching Methodology:</label>
<input type="text" id="methodology" name="methodology">
<label for="availability">Days and Times Available:</label>
<input type="text" id="availability" name="availability">
<label for="reason">Why do you want to become an instructor with us?</label>
<textarea id="reason" name="reason"></textarea>
<label for="additional">Additional Information:</label>
<textarea id="additional" name="additional"></textarea>
<input type="submit" value="Submit">
</form>
</body>
</html>