<link href="//maxcdn.bootstrapcdn.com/bootstrap/3.3.0/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css"> <script src="//maxcdn.bootstrapcdn.com/bootstrap/3.3.0/js/bootstrap.min.js"></script> <script src="//code.jquery.com/jquery-1.11.1.min.js"></script> <!------ Include the above in your HEAD tag ----------> <div class="page-header"> <h1>Staff Application <small>Become a member of our team</small></h1> </div> <form action="" method="post" role="form"> <div class="form-group"> <label>What is your Minecraft username?</label> <input type="text" name="minecraft_username" class="form-control" required autocomplete="off" value="<?=$user['username'];?>" readonly> </div> <div class="form-group"> <label>How old are you?</label> <input type="number" name="age" class="form-control" required autocomplete="off"> </div> <div class="form-group"> <label>What is your Skype username?</label> <input type="text" name="skype" class="form-control" required autocomplete="off"> </div> <div class="form-group"> <label>Do you vote for our server?</label> <div class="radio"> <label> <input type="radio" name="vote" id="vote1" value="yes" checked> Yes </label> </div> <div class="radio"> <label> <input type="radio" name="vote" id="vote2" value="no"> No </label> </div> </div> <div class="form-group"> <label>Which servers do you normally play on?</label> <div class="checkbox"> <label> <input type="checkbox" name="servers[]" value="Prison"> Prison </label> </div> <div class="checkbox"> <label> <input type="checkbox" name="servers[]" value="SkyWars"> SkyWars </label> </div> <div class="checkbox"> <label> <input type="checkbox" name="servers[]" value="KitPvP"> KitPvP </label> </div> <div class="checkbox"> <label> <input type="checkbox" name="servers[]" value="Creative"> Creative </label> </div> <div class="checkbox"> <label> <input type="checkbox" name="servers[]" value="Factions"> Factions </label> </div> <div class="checkbox"> <label> <input type="checkbox" name="servers[]" value="SkyBlock"> SkyBlock </label> </div> <div class="checkbox"> <label> <input type="checkbox" name="servers[]" value="PrisonWars"> PrisonWars </label> </div> <div class="checkbox"> <label> <input type="checkbox" name="servers[]" value="Survival"> Survival </label> </div> <div class="checkbox"> <label> <input type="checkbox" name="servers[]" value="SkyGrid"> SkyGrid </label> </div> </div> <div class="form-group"> <label>What country do you live in?</label> <input type="text" name="country" class="form-control" required autocomplete="off"> </div> <div class="form-group"> <label>What languages do you speak?</label> <input type="text" name="languages" class="form-control" required autocomplete="off"> </div> <div class="form-group"> <label>Why do you think your eligible for staff?</label> <textarea name="why" rows="6" class="form-control" required></textarea> </div> <div class="form-group"> <input type="submit" name="submit" class="btn btn-success btn-block" value="Submit"> </div> </form>