"application form"
Bootstrap 3.0.0 Snippet by capc77

<link href="//netdna.bootstrapcdn.com/bootstrap/3.0.0/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css"> <script src="//netdna.bootstrapcdn.com/bootstrap/3.0.0/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="container"> <div class="row"> <h1>Application Form</h1> </div> </div> <form role="form" class="application-form" action="javascript:void(0);"> <fieldset> <div class="form-top"> <div class="form-top-left"> <h3><span><i class="fa fa-calendar-check-o" aria-hidden="true"></i></span>Contact Details</h3> <p>Enter Your Contact Information </p> </div> </div> <div class="form-bottom"> <div class="row"> <div class="form-group col-md-6 col-sm-6"> <input type="text" class="form-control" placeholder="Full Name" id="fname" required> </div> <div class="form-group col-md-6 col-sm-6"> <input type="text" name="email" placeholder="Email" class="form-email form-control" id="email" required> </div> </div> <div class="form-group" style="margin-bottom:3px;"> <div class="row"> <div class="form-group col-md-9 col-sm-9"> <input type="date" class="form-control" placeholder="Date of Birth" id="pref_date" required> </div> <div class="form-group col-md-9 col-sm-9"> <input type="text" class="form-control" placeholder="Phone Number" id="contact_number" required> </div> </div> </div> <div class="form-group"> <select class="form-control" id="dob" required> <option>Gender</option> <option>Male</option> <option>Female</option> </select> </div> <button type="button" class="btn btn-next">Next</button> </div> </fieldset> <fieldset> <div class="form-top"> <div class="form-top-left"> <h3><span><i class="fa fa-calendar-check-o" aria-hidden="true"></i></span> Lorem ipsum dolor sit amet</h3> <p>Lorem ipsum dolor sit amet, consectetur adipisicing elit </p> </div> </div> <div class="form-bottom"> <div class="form-group"> <select class="form-control"> <option>Location</option> <option>Location</option> <option>Location</option> <option>Location</option> <option>Locationa</option> </select> </div> <div class="form-group"> <select class="form-control"> <option>Preffered Time</option> <option>Location</option> <option>Location</option> <option>Location</option> <option>Location</option> <option>Locationa</option> </select> </div> <button type="button" class="btn btn-previous">Previous</button> <button type="submit" class="btn">Submit</button> </div> </fieldset> </form>
input[type="text"], input[type="email"], input[type="date"], select.form-control { height: 50px; margin: 0; padding: 0 20px; vertical-align: middle; background: #f8f8f8; border: 3px solid #ddd; font-family: 'Roboto', sans-serif; font-size: 16px; font-weight: 300; line-height: 50px; color: #888; -moz-border-radius: 4px; -webkit-border-radius: 4px; border-radius: 4px; -moz-box-shadow: none; -webkit-box-shadow: none; box-shadow: none; -o-transition: all .3s; -moz-transition: all .3s; -webkit-transition: all .3s; -ms-transition: all .3s; transition: all .3s; } input[type="file"] { height: 35px; margin: 0; padding: 0 20px; vertical-align: bottom; background: #f8f8f8; border: 3px solid #ddd; font-family: 'Roboto', sans-serif; font-size: 16px; font-weight: 300; line-height: 30px; color: #888; -moz-border-radius: 4px; -webkit-border-radius: 4px; border-radius: 4px; -moz-box-shadow: none; -webkit-box-shadow: none; box-shadow: none; -o-transition: all .3s; -moz-transition: all .3s; -webkit-transition: all .3s; -ms-transition: all .3s; transition: all .3s; } input[type=radio] { margin-top: 8px !important; } textarea, textarea.form-control { padding-top: 10px; padding-bottom: 10px; line-height: 30px; } input[type="text"]:focus, input[type="password"]:focus, textarea:focus, textarea.form-control:focus { outline: 0; background: #fff; border: 3px solid #ccc; -moz-box-shadow: none; -webkit-box-shadow: none; box-shadow: none; } input[type="text"]:-moz-placeholder, input[type="password"]:-moz-placeholder, textarea:-moz-placeholder, textarea.form-control:-moz-placeholder { color: #888; } input[type="text"]:-ms-input-placeholder, input[type="password"]:-ms-input-placeholder, textarea:-ms-input-placeholder, textarea.form-control:-ms-input-placeholder { color: #888; } input[type="text"]::-webkit-input-placeholder, input[type="password"]::-webkit-input-placeholder, textarea::-webkit-input-placeholder, textarea.form-control::-webkit-input-placeholder { color: #888; } button.btn { height: 50px; margin: 0; padding: 0 20px; vertical-align: middle; background: #26A69A; ; border: 0; font-family: 'Roboto', sans-serif; font-size: 16px; font-weight: 300; line-height: 50px; color: #fff; -moz-border-radius: 4px; -webkit-border-radius: 4px; border-radius: 4px; text-shadow: none; -moz-box-shadow: none; -webkit-box-shadow: none; box-shadow: none; -o-transition: all .3s; -moz-transition: all .3s; -webkit-transition: all .3s; -ms-transition: all .3s; transition: all .3s; } button.btn:hover { opacity: 0.6; color: #fff; } button.btn:active { outline: 0; opacity: 0.6; color: #fff; -moz-box-shadow: none; -webkit-box-shadow: none; box-shadow: none; } button.btn:focus { outline: 0; opacity: 0.6; background: #26A69A; ; color: #fff; } button.btn:active:focus, button.btn.active:focus { outline: 0; opacity: 0.6; background: #26A69A; ; color: #fff; } /*style.css**/ body { font-family: 'Roboto', sans-serif; font-size: 16px; font-weight: 300; color: #888; line-height: 30px; text-align: center; } strong { font-weight: 500; } a, a:hover, a:focus { color: #26A69A; ; text-decoration: none; -o-transition: all .3s; -moz-transition: all .3s; -webkit-transition: all .3s; -ms-transition: all .3s; transition: all .3s; } h1, h2 { margin-top: 10px; font-size: 38px; font-weight: 100; color: #555; line-height: 50px; } h3 { font-size: 22px; font-weight: 300; color: #555; line-height: 30px; } ::-moz-selection { background: #26A69A; ; color: #fff; text-shadow: none; } ::selection { background: #26A69A; ; color: #fff; text-shadow: none; } .btn-link-1 { display: inline-block; height: 50px; margin: 0 5px; padding: 16px 20px 0 20px; background: #26A69A; font-size: 16px; font-weight: 300; line-height: 16px; color: #fff; -moz-border-radius: 4px; -webkit-border-radius: 4px; border-radius: 4px; } .btn-link-1:hover, .btn-link-1:focus, .btn-link-1:active { outline: 0; opacity: 0.6; color: #fff; } .btn-link-2 { display: inline-block; height: 50px; margin: 0 5px; padding: 15px 20px 0 20px; background: rgba(0, 0, 0, 0.3); border: 1px solid #fff; font-size: 16px; font-weight: 300; line-height: 16px; color: #fff; -moz-border-radius: 4px; -webkit-border-radius: 4px; border-radius: 4px; } .btn-link-2:hover, .btn-link-2:focus, .btn-link-2:active, .btn-link-2:active:focus { outline: 0; opacity: 0.6; background: rgba(0, 0, 0, 0.3); color: #fff; } /***** Top content *****/ .form-box { padding-top: 40px; font-family: 'Roboto', sans-serif !important; } .form-top { overflow: hidden; padding: 0 25px 15px 25px; background: #26A69A; -moz-border-radius: 4px 4px 0 0; -webkit-border-radius: 4px 4px 0 0; border-radius: 4px 4px 0 0; text-align: left; color: #fff; transition: opacity .3s ease-in-out; } .form-top h3 { color: #fff; } .form-bottom { padding: 25px 25px 30px 25px; background: #eee; -moz-border-radius: 0 0 4px 4px; -webkit-border-radius: 0 0 4px 4px; border-radius: 0 0 4px 4px; text-align: left; transition: all .4s ease-in-out; } .form-bottom:hover { -webkit-box-shadow: 0 2px 4px 0 rgba(0, 0, 0, 0.16), 0 2px 10px 0 rgba(0, 0, 0, 0.12); box-shadow: 0 2px 4px 0 rgba(0, 0, 0, 0.16), 0 2px 10px 0 rgba(0, 0, 0, 0.12); } form .form-bottom button.btn { min-width: 105px; } form .form-bottom .input-error { border-color: #d03e3e; color: #d03e3e; } form.registration-form fieldset { display: none; }
$(document).ready(function () { $('.application-form fieldset:first-child').fadeIn('slow'); $('.application-form input[type="text"]').on('focus', function () { $(this).removeClass('input-error'); }); // next step $('.application-form .btn-next').on('click', function () { var parent_fieldset = $(this).parents('fieldset'); var next_step = true; parent_fieldset.find('input[type="text"],input[type="date"],select,input[type="checkbox"],input[type="email"]').each(function () { if ($(this).val() == "") { $(this).addClass('input-error'); next_step = false; } else { $(this).removeClass('input-error'); } }); if (next_step) { parent_fieldset.fadeOut(400, function () { $(this).next().fadeIn(); }); } }); // previous step $('.application-form .btn-previous').on('click', function () { $(this).parents('fieldset').fadeOut(400, function () { $(this).prev().fadeIn(); }); }); // submit $('.application-form').on('submit', function (e) { $(this).find('input[type="text"],input[type="email"]').each(function () { if ($(this).val() == "") { e.preventDefault(); $(this).addClass('input-error'); } else { $(this).removeClass('input-error'); } }); }); });// JavaScript Document

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