Posted By

kemikazii on 12/10/15

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Last Edited at 12/10/15 03:37am

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Course Registration Form

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A course registration form written in HTML

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<html>
<title>Kemoy Joseph</title>
<body>
<img src="kclg.jpg" height = "100">
<link href="form.css" rel="stylesheet" type "text/css">
<script type="text/javascript">
prompt("What is your name?")
</script>

<h1 style ="text-align:center"><b><u>Course Selection</u></b></h1>
<h5>* is a required field</h5>

<fieldset id="name">
<legend>Login</legend>
<label class="login">
Username<span>*</span>
<input type="text" id="user" name="user" />
</label>
<label>
Password<span>*</span>
<input type="text" id="pass" name="pass" />
</label>

</fieldset>

<br clear="all"><fieldset id="address">
<legend>Name</legend>
First Name<span>*</span>
<input type="text" id="first" name="first" maxlength="15" />
</label>

</fieldset></br>

<fieldset id="cont">
<legend>Address</legend>
Street<span>*</span>
<input type="text" id="str" name="str" maxlength="20" />
</label>

<br>State<span>*</span>
<input type="text" id="state" name="state" value = "NY" />
</label>

<br clear="all"><fieldset id = "crs">
<legend>High School Courses Taken<span>*</span></legend>

<b><u>Language</u></b>
<select name="name" id="id">
<option value="value1">Spanish</option>
<option value="value2">French</option>
<option value="value2">No Language</option>
</select>
<br><br>
<b><u>Field Related</u></b> 
<select multiple = "multiple">

<optgroup label="Business">
<option>Accounts</option>
<option>Office Administration</option>
<option>Business Administration</option>
</optgroup>

<optgroup label="Science">
<option>Biology</option>
<option>Chemistry</option>
<option>Physics</option>
</optgroup>

</select></br>

<br><b><u>Main Courses</u></b>
<label>
<input type="checkbox" id="enga" name="enga" />
English Language
</label>
<label>
<input type="checkbox" id="engb" name="engb" />
English Literature
</label>

<label>
<input type="checkbox" id="mat" name="mat" />
Mathematics
</label></br>

<br><b><u>Electives</u></b></br>
<label for="it">Information Technology</label>
<input type="radio" name="sub" id="it" value="value1" />

<br><label for="art">Arts and Craft</label>
<input type="radio" name="sub" id="art" value="value2" />

<br><label for="td">Technical Drawing</label>
<input type="radio" name="sub" id="td" value="value3" />

<br>
<label for="comments" class="blockLabel"><b><u>Other Courses Taken</b></u></label>
<textarea id="comments" name="comments"rows="5" cols="50"></textarea>

</fieldset>

<br clear="all"><fieldset>
<legend>Major Selection<span>*</span></legend>

<label for="cis">Computer Information Systems</label>
<input type="radio" name="sub" id="cis" value="value1" />

<br><label for="act">Accounting</label>
<input type="radio" name="sub" id="act" value="value2" />

<br><label for="cs">Computer Science</label>
<input type="radio" name="sub" id="cs" value="value2" />

<br><label for="cj">Criminal Justice</label>
<input type="radio" name="sub" id="cj" value="value2" />
</fieldset>

<br clear="all"><fieldset>
<legend>Course Selection(Spring 2014)<span>*</span></legend> 
<label>
<input type="checkbox" id="cis22" name="cis22" />
CIS2200
</label>

<br clear="all"><label for="comments" class="blockLabel"><b><u>Comments</b></u></label>
<textarea id="comments" name="comments"rows="5" cols="50"></textarea>

</fieldset>

<br clear="all"><input type="submit" value="Submit" />
<input type="reset" value="Reset" />
<br clear="all">
<br clear="all"><button name="home" id="home" value="home" type="button">
<img src="hmic.jpg" height = "30" width = "30" background = "grey">
Return to Home Page
</button>
<br clear="all">
<br clear="all"><input type="file" name="name" id="id" />

</form>

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