plsteachme.github.io/Synopsys Application Form Teacher Information.html at master · whyhellothere/plsteachme.github.io · GitHub

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<!DOCTYPE html>

<html xmlns="http://www.w3.org/1999/xhtml">
<head><meta http-equiv="Content-Type" content="text/html; charset=windows-1252">
	<title>
		2017 Synopsys Championship - Teacher Contact Information
	</title>
	<link rel="stylesheet" type="text/css" href="./2017 Synopsys Championship - Generate Individual Application Form_files/html_form.css">

</head>

<body>

	<h1>2017 Synopsys Championship:<br>Teacher Contact Information</h1>

	<br>
	<!--<div contenteditable="true">
		<textarea name="title" value="" required="" placeholder="120 character limit" onkeyup="EnforceMaximumLength(this,120)"></textarea>
	</div>
	-->
	<h3> Teacher Information</h3>
	<br>

	<div class="form_element">
	<div class="title"> Teacher Honorific <span class="asterix">*</span> </div>
	<div><input type="text" name="student_1_school" value="" required="" placeholder="Parent Home Phone Number"></div>
	</div>

	<div class="form_element">
	<div class="title"> Teacher First Name <span class="asterix">*</span> </div>
	<div><input type="text" name="student_1_school" value="" required="" placeholder="Parent Employer"></div>
	</div>

	<div class="form_element">
	<div class="title"> Teacher Last Name <span class="asterix">*</span> </div>
	<div><input type="text" name="student_1_school" value="" required="" placeholder="Parent Home Phone Number"></div>
	</div>

	<div class="form_element">
	<div class="title"> Teacher Email Address <span class="asterix">*</span> </div>
	<div><input type="email" name="student_1_email" value="" required="" placeholder="Parent Email"></div>
	<div><span class="duplicate-email-good">re-enter email address</span>
	<input type="email" name="student_1_email_copy" value="" required="" placeholder="Re-enter Parent Email">
	</div>
	</div>


	<div>
		<form action="Synopsys Individual Application Form Student Selection Page.html" method="get">
		<input class="previous" name="previous" type="submit" value="Previous">
		</form>
		<form action="Synopsys Application Form Teacher Information.html" method="get">
		<input class="next" name="next" type="submit" value="Next">
		</form>
	</div>


</html>