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assessmentForm.php
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45 lines (35 loc) · 1.1 KB
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<?php
require('includes/header.php');
?>
<div class="container">
<div class="row">
<div id="infoTag" class="col-12 mt-5 text-center">
<h1>Assessment Form</h1>
<p>
Thank you for your interest in the Full-Stack Web Development Program.<br/>
Please provide your name and email address before continuing on to the exam.
</p>
</div>
</div>
</div>
<div class="row">
<div class="col-12 mb-5 text-center">
<div id="error"></div>
<form id="frm" action="assessment.php" method="post">
<label class="formLabel" for="firstName" > First Name: </label><br>
<input type="text" name="firstName" id="firstName" required><br>
<label class="formLabel" for="lastName"> Last Name: </label><br>
<input type="text" name="lastName" id="lastName" required><br>
<label class="formLabel" for="email"> Email: </label>
<br>
<input type="text" name="email" id="email" required><br>
<button type="button" id="beginBtn" class="btn btn-success btn-lg text-center">Take Assessment</button>
</form>
</div>
</div>
</div>
</body>
</html>
<?php
require('includes/footer.php');
?>