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apply.html
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apply.html
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<!DOCTYPE html>
<html>
<head>
<meta charset="utf-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0, shrink-to-fit=no">
<title>Apply - Learn@Muellners We are accepting application for this year</title>
<meta name="description" content="Learn by Muellners Foundation">
<link rel="stylesheet" href="assets/bootstrap/css/bootstrap.min.css">
<link rel="stylesheet" href="https://fonts.googleapis.com/css?family=Lato:300,400,700,300italic,400italic,700italic">
<link rel="stylesheet" href="https://fonts.googleapis.com/css?family=Source+Sans+Pro:300,400,700">
<link rel="stylesheet" href="assets/fonts/font-awesome.min.css">
<link rel="stylesheet" href="assets/fonts/simple-line-icons.min.css">
<link rel="stylesheet" href="assets/css/Contact-Form-Clean.css">
<link rel="stylesheet" href="assets/css/FAQ-Frequentlly-Asked-Questions-1.css">
<link rel="stylesheet" href="assets/css/FAQ-Frequentlly-Asked-Questions.css">
<link rel="stylesheet" href="assets/css/Header-Blue.css">
<link rel="stylesheet" href="https://cdnjs.cloudflare.com/ajax/libs/animate.css/3.5.2/animate.min.css">
<link rel="stylesheet" href="https://cdnjs.cloudflare.com/ajax/libs/aos/2.1.1/aos.css">
<link rel="stylesheet" href="https://s.pageclip.co/v1/pageclip.css" media="screen">
</head>
<body>
<nav class="navbar navbar-light navbar-expand fixed-top bg-light navigation-clean">
<div class="container"><a class="navbar-brand" href="https://learn.muellners.org">Learn@Muellners</a><button data-toggle="collapse" class="navbar-toggler" data-target="#navcol-1"></button>
<div class="collapse navbar-collapse" id="navcol-1"><a class="btn btn-primary ml-auto" role="button" href="#">Apply</a></div>
</div>
</nav>
<div></div>
<section class="showcase">
<div class="container-fluid p-0">
<div class="row no-gutters"></div>
</div>
</section>
<div class="contact-clean">
<form action="https://send.pageclip.co/mylk8moJ1aNrVAdzOJ5S8Z59rv9c8ey8" class="pageclip-form" method="post">
<h2 class="text-center">Application Form</h2>
<div class="form-group"><input class="form-control" type="text" name="name" placeholder="Firstname"></div>
<div class="form-group"><input class="form-control" type="text" name="lastname" placeholder="Lastname"></div>
<div class="form-group">
<select class="form-control" name="interested">
<optgroup label="Which field you are intrested in?">
<option value="cc" selected="">Climate Change</option>
<option value="fa">Financial Applications</option>
<option value="dp">Data Privacy</option>
<option value="ai">Artificial Intelligence</option>
<option value="oss">Open Source Practices</option>
<option value="wfh">Learning Work From Home</option>
<option value="free">Freelancing</option>
</optgroup>
</select>
<div>
<label>Start Date (When can you start the course?)</label>
<small
class="form-text text-muted">Enter date like 15/09/2020.</small>
<div class="form-group"><input class="form-control" type="text" name="start" required="" value="28/04/2020"></div>
<div class="form-group">
<label class="text-left">Do you need a laptop, computer machine?
</label>
<input class="float-right" name="machine" id="needed" type="checkbox">
</div>
<div class="form-group">
<label>Do you have a formal degree or education?
</label>
<input class="float-right" name="degree" id="have" type="checkbox"></div>
<div class="form-group">
<label>Do you need a job after the program?
</label>
<input class="float-right" name="job" id="needed" type="checkbox"></div>
<div class="form-group"><input class="form-control" type="text" placeholder="Your age"></div>
<div class="form-group"><label>Are you working somwhere?</label>
<input class="form-control" type="text" name="working" placeholder="Where are you working?"></div>
<div class="form-group"><input class="form-control" type="tel" name="phone" placeholder="Your Telephone"></div>
<div class="form-group"><input class="form-control is-invalid" type="email" data-toggle="tooltip" data-bs-tooltip="" name="email" placeholder="Email"><small class="form-text text-danger">Please enter a correct email address.</small></div>
<div class="form-group"><textarea class="form-control" name="message" placeholder="Describe yourself in lowest possible words" rows="14"></textarea></div>
<div class="form-group"><button class="btn btn-primary pageclip-form__submit" type="submit">Apply</button></div>
</form>
</div>
<footer class="footer bg-light">
<div class="container">
<div class="row">
<div class="col-lg-6 my-auto h-100 text-center text-lg-left">
<ul class="list-inline mb-2">
<li class="list-inline-item"><a href="#">About</a></li>
<li class="list-inline-item"><span>⋅</span></li>
<li class="list-inline-item"><a href="#">Contact</a></li>
<li class="list-inline-item"><span>⋅</span></li>
<li class="list-inline-item"><a href="#">Terms of Use</a></li>
<li class="list-inline-item"><span>⋅</span></li>
<li class="list-inline-item"><a href="#">Privacy Policy</a></li>
</ul>
<p class="text-muted small mb-4 mb-lg-0">© Learn, Muellners Foundation 2019-2020. All Rights Reserved.</p>
</div>
<div class="col-lg-6 my-auto h-100 text-center text-lg-right">
<ul class="list-inline mb-0">
<li class="list-inline-item"><a href="#"><i class="fa fa-facebook fa-2x fa-fw"></i></a></li>
<li class="list-inline-item"><a href="#"><i class="fa fa-twitter fa-2x fa-fw"></i></a></li>
<li class="list-inline-item"><a href="#"><i class="fa fa-instagram fa-2x fa-fw"></i></a></li>
</ul>
</div>
</div>
</div>
</footer>
<script src="assets/js/jquery.min.js"></script>
<script src="assets/bootstrap/js/bootstrap.min.js"></script>
<script src="assets/js/bs-init.js"></script>
<script src="https://cdnjs.cloudflare.com/ajax/libs/aos/2.1.1/aos.js"></script>
<script src="https://s.pageclip.co/v1/pageclip.js" charset="utf-8"></script>
</body>
</html>