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<div class="formbold-main-wrapper">
<!-- Author: FormBold Team -->
<!-- Learn More: https://formbold.com -->
<div class="formbold-form-wrapper">
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</svg>
<form action="https://formbold.com/s/FORM_ID" method="POST">
<div class="formbold-input-flex">
<div>
<label for="firstname" class="formbold-form-label"> First Name </label>
<input
type="text"
name="firstname"
id="firstname"
placeholder="Your first name"
class="formbold-form-input"
/>
</div>
<div>
<label for="lastname" class="formbold-form-label"> Last Name </label>
<input
type="text"
name="lastname"
id="lastname"
placeholder="Your last name"
class="formbold-form-input"
/>
</div>
</div>
<div class="formbold-input-flex">
<div>
<label for="email" class="formbold-form-label"> Email </label>
<input
type="email"
name="email"
id="email"
placeholder="[email protected]"
class="formbold-form-input"
/>
</div>
<div>
<label class="formbold-form-label">Gender</label>
<select class="formbold-form-input" name="occupation" id="occupation">
<option value="male">Male</option>
<option value="female">Female</option>
<option value="others">Others</option>
</select>
</div>
</div>
<div class="formbold-mb-3 formbold-input-wrapp">
<label for="phone" class="formbold-form-label"> Phone </label>
<div>
<input
type="text"
name="areacode"
id="areacode"
placeholder="Area code"
class="formbold-form-input formbold-w-45"
/>
<input
type="text"
name="phone"
id="phone"
placeholder="Phone number"
class="formbold-form-input"
/>
</div>
</div>
<div class="formbold-mb-3">
<label for="age" class="formbold-form-label"> Applying for Position: </label>
<input
type="text"
name="age"
id="age"
class="formbold-form-input"
/>
</div>
<div class="formbold-mb-3">
<label for="dob" class="formbold-form-label"> When can you start? </label>
<input type="date" name="dob" id="dob" class="formbold-form-input" />
</div>
<div class="formbold-mb-3">
<label for="address" class="formbold-form-label"> Address </label>
<input
type="text"
name="address"
id="address"
placeholder="Street address"
class="formbold-form-input formbold-mb-3"
/>
<input
type="text"
name="address2"
id="address2"
placeholder="Street address line 2"
class="formbold-form-input"
/>
</div>
<div class="formbold-mb-3">
<label for="message" class="formbold-form-label">
Cover Letter
</label>
<textarea
rows="6"
name="message"
id="message"
class="formbold-form-input"
></textarea>
</div>
<div class="formbold-form-file-flex">
<label for="upload" class="formbold-form-label">
Upload Resume
</label>
<input
type="file"
name="upload"
id="upload"
class="formbold-form-file"
/>
</div>
<button class="formbold-btn">Apply Now</button>
</form>
</div>
</div>
<style>
@import url('https://fonts.googleapis.com/css2?family=Inter:wght@400;500;600;700&display=swap');
* {
margin: 0;
padding: 0;
box-sizing: border-box;
}
body {
font-family: 'Inter', sans-serif;
}
.formbold-mb-3 {
margin-bottom: 15px;
}
.formbold-main-wrapper {
display: flex;
align-items: center;
justify-content: center;
padding: 48px;
}
.formbold-form-wrapper {
margin: 0 auto;
max-width: 570px;
width: 100%;
background: white;
padding: 40px;
}
.formbold-img {
display: block;
margin: 0 auto 45px;
}
.formbold-input-wrapp > div {
display: flex;
gap: 20px;
}
.formbold-input-flex {
display: flex;
gap: 20px;
margin-bottom: 15px;
}
.formbold-input-flex > div {
width: 50%;
}
.formbold-form-input {
width: 100%;
padding: 13px 22px;
border-radius: 5px;
border: 1px solid #dde3ec;
background: #ffffff;
font-weight: 500;
font-size: 16px;
color: #536387;
outline: none;
resize: none;
}
.formbold-form-input::placeholder,
select.formbold-form-input,
.formbold-form-input[type='date']::-webkit-datetime-edit-text,
.formbold-form-input[type='date']::-webkit-datetime-edit-month-field,
.formbold-form-input[type='date']::-webkit-datetime-edit-day-field,
.formbold-form-input[type='date']::-webkit-datetime-edit-year-field {
color: rgba(83, 99, 135, 0.5);
}
.formbold-form-input:focus {
border-color: #6a64f1;
box-shadow: 0px 3px 8px rgba(0, 0, 0, 0.05);
}
.formbold-form-label {
color: #07074D;
font-weight: 500;
font-size: 14px;
line-height: 24px;
display: block;
margin-bottom: 10px;
}
.formbold-form-file-flex {
display: flex;
align-items: center;
gap: 20px;
}
.formbold-form-file-flex .formbold-form-label {
margin-bottom: 0;
}
.formbold-form-file {
font-size: 14px;
line-height: 24px;
color: #536387;
}
.formbold-form-file::-webkit-file-upload-button {
display: none;
}
.formbold-form-file:before {
content: 'Upload file';
display: inline-block;
background: #EEEEEE;
border: 0.5px solid #FBFBFB;
box-shadow: inset 0px 0px 2px rgba(0, 0, 0, 0.25);
border-radius: 3px;
padding: 3px 12px;
outline: none;
white-space: nowrap;
-webkit-user-select: none;
cursor: pointer;
color: #637381;
font-weight: 500;
font-size: 12px;
line-height: 16px;
margin-right: 10px;
}
.formbold-btn {
text-align: center;
width: 100%;
font-size: 16px;
border-radius: 5px;
padding: 14px 25px;
border: none;
font-weight: 500;
background-color: #6a64f1;
color: white;
cursor: pointer;
margin-top: 25px;
}
.formbold-btn:hover {
box-shadow: 0px 3px 8px rgba(0, 0, 0, 0.05);
}
.formbold-w-45 {
width: 45%;
}
</style>