RFI Page

300 × 150

This reference page uses the following components in the following order:

  1. Global Header
  2. Site Navigation
  3. Banner - Slim
  4. Breadcrumb
  5. RFI Form
  6. Enrollment Call to Action
  7. Global Footer
<div id="body-wrapper">
    <div id="skip-content"><a class="Skip-btn" href="#skipToContent">Skip To Main Content</a></div>
    <!-- Header Section -->
    <header id="header" class="main-header sticky-header">
        <!-- Top Header -->
        <div id="top-header">
            <div class="top-header-left">
                <a title="UTSA Home" href="https://www.utsa.edu">
                    <img width="250px" height="12px" class="logo-full d-none d-sm-block" src="../../college-dls/utsa/images/utsa-logo-full.svg" alt="The University of Texas at San Antonio" />
                    <img width="72px" height="25px" class="logo-short d-block d-sm-none" src="../../college-dls/utsa/images/utsa-logo.svg" alt="The University of Texas at San Antonio" />
                </a>
            </div>
            <div class="top-header-right">
                <form class="top-header-form">
                    <div class="language-select">
                        <label for="select-lang" class="d-none">Select Language</label>
                        <select id="select-lang" class="js-example-disabled-results" aria-labelledby="select-lang">
                            <option>Select Language</option>
                            <option>English</option>
                        </select>
                    </div>
                    <div class="myutsa-link">
                        <a title="MyUTSA" href="https://my.utsa.edu"><i class="fas fa-globe-americas"></i> <span class="myutsa-text">myUTSA</span></a>
                    </div>
                    <div class="search">
                        <button type="button" class="search-btn dropdown-toggle show" data-bs-toggle="dropdown" aria-expanded="true">
                            <span class="search-icon"><i class="fas fa-search" aria-hidden="true"></i></span>
                            <span class="search-text">Search</span>
                        </button>
                        <div class="dropdown-menu " style="position: absolute; inset: 0px auto auto 0px; margin: 0px; transform: translate3d(274px, 122px, 0px);" data-popper-placement="bottom-end">
                            <label for="q" class="d-none">Search</label>
                            <input type="search" placeholder="Search" id="q" tabindex="0" onblur="if (this.value == '') {this.value = 'Search UTSA';}" onfocus="if (this.value == 'Search UTSA') {this.value = '';}" value="Search UTSA" />
                            <button type="submit" class="search-input-icon" aria-label="Search"><i class="fas fa-search" aria-hidden="true"></i></button>
                        </div>
                    </div>
                </form>
            </div>
        </div>
        <!-- End Top Header -->

        <!-- Sticky Header -->
        <div class="top-navigation">
            <!-- Main Header -->
            <div id="main-header">
                <div class="container">
                    <nav class="navbar navbar-expand-md">
                        <a class="navbar-brand p-2" href="#" aria-label="Logo Image">
                            <img class="college-logo" width="265px" height="33px" alt="Full College Name Goes Here" src="../../college-dls/college/images/logo-hcap-2color-formal-single-short.svg" /></a>
                        <button class="navbar-toggler" type="button" data-bs-toggle="collapse" data-bs-target="#collapsibleNavbar4" aria-label="Toggle">
                            <span class="navbar-toggler-icon"><i class="fal fa-bars"></i></span>
                            <span class="navbar-toggler-close-icon" style="display: none;"><i class="fal fa-times"></i></span>
                        </button>
                        <div class="collapse navbar-collapse justify-content-end" id="collapsibleNavbar4">
                            <ul class="navbar-nav">
                                <li class="nav-item">
                                    <a class="nav-link" href="#" aria-label="College Admissions">Admissions</a>
                                </li>
                                <li class="nav-item">
                                    <a class="nav-link dropdown-toggle" data-bs-toggle="dropdown" href="#">Programs</a>
                                    <div class="dropdown-menu">
                                        <a class="dropdown-item" href="#" aria-label="Undergraduate Programs">Undergraduate</a>
                                        <a class="dropdown-item" href="#" aria-label="Graduate Programs">Graduate</a>
                                        <a class="dropdown-item" href="#" aria-label="Certificate Programs">Certificate</a>
                                        <a class="dropdown-item" href="#" aria-label="another link option for testing">Testing a long link to make sure it wraps on mobile</a>
                                    </div>
                                </li>
                                <li class="nav-item">
                                    <a class="nav-link" href="#" aria-label="Faculty & Research">Faculty & Research </a>
                                </li>
                                <li class="nav-item">
                                    <a class="nav-link dropdown-toggle" href="#" data-bs-toggle="dropdown" aria-label="Student Success">Student Success</a>
                                    <div class="dropdown-menu">
                                        <a class="dropdown-item" href="#" aria-label="Undergraduate Student Resources">Undergraduate</a>
                                        <a class="dropdown-item" href="#" aria-label="Graduate Student Resources">Graduate</a>
                                        <a class="dropdown-item" href="#" aria-label="Certificate Resources">Certificate</a>
                                    </div>
                                </li>
                                <li class="nav-item">
                                    <a class="nav-link dropdown-toggle" href="#" data-bs-toggle="dropdown" aria-label="College Departments">Departments</a>
                                    <div class="dropdown-menu">
                                        <a class="dropdown-item" href="#" aria-label="Another sub menu item">Undergraduate</a>
                                    </div>
                                </li>
                                <li class="nav-item">
                                    <a class="nav-link dropdown-toggle" href="#" data-bs-toggle="dropdown" aria-label="About the College">About</a>
                                    <div class="dropdown-menu">
                                        <a class="dropdown-item" href="#" aria-label="About Undergraduate Programs">Undergraduate</a>
                                        <a class="dropdown-item" href="#" target="_parent">This is a longer link for testing</a>
                                    </div>
                                </li>

                                <li class="nav-item mobile-nav-btns">
                                    <a href="#" class="action-btn">Apply <i class="fas fa-arrow-right"></i></a>
                                    <a href="#" class="action-btn">Visit <i class="fas fa-arrow-right"></i></a>
                                    <a href="#" class="action-btn">Request Info <i class="fas fa-arrow-right"></i></a>
                                </li>
                            </ul>
                        </div>
                    </nav>
                </div>
            </div>
            <!--End Main Header -->
            <!-- Request Apply Header -->
            <div class="bottom-absolute-header d-flex flex-row-reverse">
                <div id="orange-bg-header">
                    <div class="container">
                        <ul class="orange-header-list">
                            <li class="nav-item"><a class="nav-link" href="#">Request Info</a></li>
                            <li class="nav-item"><a class="nav-link" href="#">Visit</a></li>
                            <li class="nav-item"><a class="nav-link" href="#">Apply</a></li>
                        </ul>
                    </div>
                </div>
            </div>
        </div>
        <!-- End Sticky Header -->

    </header>
    <!-- Header Section End -->
    <!-- Main Content Body -->
    <main>
        <!--Slider -->
        <section class="slider-wrapper" id="main-slider-wrapper">
            <section class="banner">
                <div class="single-title-wrapper">
                    <div class="container">
                        <h1 class="single-title-heading">Request for Information Page </h1>
                    </div>
                </div>
            </section> <!-- Breadcrumb -->
            <div class="breadcrumb-wrapper">
                <div class="container">
                    <ul class="list-unstyled">
                        <li class="crumb-item">
                            <a class="link-text" href="index.html">Home</a>
                            <span class="breadcrumb-divider">&#160;/&#160;</span>
                            <span class="unlink-text">Request for Information Page</span>
                        </li>
                    </ul>
                </div>
            </div>
            <!-- End Breadcrumb -->
        </section>
        <!-- End Slider -->

        <section class="page-text-wrapper" id="skipToContent">
            <div class="container">
                <div class="row">
                    <div class="col-12">
                        <h3>Lorem Ipsum </h3>
                        <p>Lorem ipsum dolor sit amet, consectetur adipiscing elit. Maecenas tincidunt urna a porta lobortis.
                            Aliquam sit amet eros quam. Fusce venenatis ipsum non est porta porttitor. Curabitur aliquet mattis
                            elit. Mauris eget velit bibendum, auctor risus eu, elementum sem. Fusce magna neque, bibendum in
                            efficitur ut, elementum non risus. Aenean vitae elementum risus. Donec ut sollicitudin nisl.
                            Pellentesque vehicula eu neque ut iaculis. Phasellus dignissim augue in lorem pharetra dictum. Fusce
                            pellentesque ut ipsum quis malesuada. </p>
                    </div>
                    <div class="col-xxl-2 col-xl-2 col-lg-2 col-md-12 col-sm-12">
                        &nbsp;
                    </div>
                </div>
                <div class="row">
                    <div class="col-xl-12 col-lg-12 col-md-12 col-sm-12">
                        <div class="request-info-design">
                            <div class="request-info-bg">
                                <form class="form-design">
                                    <div class="row no-mrg">
                                        <div class="col-xxl-4 col-xl-4 col-lg-4 col-md-12 col-sm-12">
                                            <label for="first-name" class="label-design">First Name*</label>
                                        </div>
                                        <div class="col-xxl-8 col-xl-8 col-lg-8 col-md-12 col-sm-12">
                                            <div class="form-group input-design">
                                                <input id="first-name" type="text" title="First Name" required="">
                                            </div>
                                        </div>
                                    </div>
                                    <div class="row no-mrg">
                                        <div class="col-xxl-4 col-xl-4 col-lg-4 col-md-12 col-sm-12">
                                            <label for="last-name" class="label-design">Last Name*</label>
                                        </div>
                                        <div class="col-xxl-8 col-xl-8 col-lg-8 col-md-12 col-sm-12">
                                            <div class="form-group input-design">
                                                <input id="last-name" type="text" title="Last Name" required="">
                                            </div>
                                        </div>
                                    </div>
                                    <div class="row no-mrg">
                                        <div class="col-xxl-4 col-xl-4 col-lg-4 col-md-12 col-sm-12">
                                            <label for="email" class="label-design">Email*</label>
                                        </div>
                                        <div class="col-xxl-8 col-xl-8 col-lg-8 col-md-12 col-sm-12">
                                            <div class="form-group input-design">
                                                <input id="email" type="email" title="Email" required="">
                                            </div>
                                        </div>
                                    </div>
                                    <div class="row no-mrg">
                                        <div class="col-xxl-4 col-xl-4 col-lg-4 col-md-12 col-sm-12">
                                            <label for="term" class="label-design">Term of Entry*</label>
                                        </div>
                                        <div class="col-xxl-8 col-xl-8 col-lg-8 col-md-12 col-sm-12">
                                            <div class="form-group select-design">
                                                <select id="term" class="js-example-disabled-results" aria-labelledby="term" required>
                                                    <option>Term</option>
                                                </select>
                                            </div>
                                        </div>
                                    </div>
                                    <div class="row no-mrg">
                                        <div class="col-xxl-4 col-xl-4 col-lg-4 col-md-12 col-sm-12">
                                            <label for="select-program" class="label-design">Program/Major*</label>
                                        </div>
                                        <div class="col-xxl-8 col-xl-8 col-lg-8 col-md-12 col-sm-12">
                                            <div class="form-group select-design">
                                                <select id="select-program" class="js-example-disabled-results" aria-labelledby="select-program" required>
                                                    <option>Term</option>
                                                </select>
                                            </div>
                                        </div>
                                    </div>
                                    <div class="row no-mrg textarea-row">
                                        <div class="col-xxl-4 col-xl-4 col-lg-4 col-md-12 col-sm-12">
                                            <label for="question" class="label-design">“Ask a counselor a question”</label>
                                        </div>
                                        <div class="col-xxl-8 col-xl-8 col-lg-8 col-md-12 col-sm-12">
                                            <div class="form-group textarea-design">
                                                <textarea title="Ask a counselor a question" id="question"></textarea>
                                            </div>
                                        </div>
                                    </div>
                                    <div class="row no-mrg">
                                        <div class="col-xxl-4 col-xl-4 col-lg-4 col-md-12 col-sm-12">
                                            <label for="phone" class="label-design">Phone</label>
                                        </div>
                                        <div class="col-xxl-8 col-xl-8 col-lg-8 col-md-12 col-sm-12">
                                            <div class="form-group input-design">
                                                <input id="phone" type="number" title="Phone">
                                            </div>
                                        </div>
                                    </div>
                                    <div class="row no-mrg">
                                        <div class="col-xxl-4 col-xl-4 col-lg-4 col-md-12 col-sm-12">
                                            <label for="select-freshman" class="label-design">Admit Type</label>
                                        </div>
                                        <div class="col-xxl-8 col-xl-8 col-lg-8 col-md-12 col-sm-12">
                                            <div class="form-group select-design">
                                                <select id="select-freshman" class="js-example-disabled-results" aria-labelledby="select-freshman">
                                                    <option>Freshman</option>
                                                </select>
                                            </div>
                                        </div>
                                    </div>
                                    <div class="row no-mrg">
                                        <div class="col-xxl-4 col-xl-4 col-lg-4 col-md-12 col-sm-12">
                                            &nbsp;
                                        </div>
                                        <div class="col-xxl-8 col-xl-8 col-lg-8 col-md-12 col-sm-12">
                                            <div class="radio-design-wrapper form-group">
                                                <div class="radio-design">
                                                    <label for="domestic">Domestic</label>
                                                    <div class="radio-custom-design">
                                                        <input type="radio" id="domestic" value="Domestic">
                                                        <span class="white-circle">&nbsp;</span>
                                                    </div>
                                                </div>
                                                <div class="radio-design">
                                                    <label for="international">International</label>
                                                    <div class="radio-custom-design">
                                                        <input type="radio" id="international" value="International">
                                                        <span class="white-circle">&nbsp;</span>
                                                    </div>
                                                </div>
                                            </div>
                                        </div>
                                    </div>
                                    <div class="row no-mrg">
                                        <div class="col-xxl-4 col-xl-4 col-lg-4 col-md-12 col-sm-12">
                                            &nbsp;
                                        </div>
                                        <div class="col-xxl-8 col-xl-8 col-lg-8 col-md-12 col-sm-12">
                                            <div class="form-group submit-design">
                                                <input class="form-btn" type="submit" value="Submit" aria-label="Submit">
                                            </div>
                                        </div>
                                    </div>
                                </form>
                            </div>
                        </div>
                    </div>
                </div>
            </div>
        </section>

        <!-- ENROLLMENT CTA -->
        <!-- Roadrunner Section -->
        <section class="enrollment-wrapper" style="background-image: url('../../college-dls/utsa/images/Future-Roadrunner.png');">
            <div class="container">
                <div class="enrollment-content">
                    <span class="h5">Become a</span>
                    <h2>Roadrunner</h2>
                    <div class="roadrunner-btns">
                        <div class="row">
                            <div class="col-xxl-4 col-xl-4 col-lg-4 col-md-4 col-sm-12"> <a href="#" class="action-btn">Request Information <i class="fas fa-arrow-right"></i></a> </div>
                            <div class="col-xxl-4 col-xl-4 col-lg-4 col-md-4 col-sm-12"> <a href="#" class="action-btn">Visit Campus <i class="fas fa-arrow-right"></i></a> </div>
                            <div class="col-xxl-4 col-xl-4 col-lg-4 col-md-4 col-sm-12"> <a href="#" class="action-btn">Apply Now <i class="fas fa-arrow-right"></i></a> </div>
                        </div>
                    </div>
                </div>
            </div>
        </section>
        <!--End Roadrunner Section -->

        <!-- END CTA -->
    </main>
    <div aria-label="Back to Top" role="navigation">
        <a href="#top-area" id="top-link" title="To top of page"><em class="back-to-top">&nbsp;</em><span class="top-link-text">Back to Top</span></a>
    </div>

    <!--The below is only for the DLS for the button to show-->
    <script>
        document.getElementById("top-link").style.display = "block";
    </script>
    <!-- End Main Content Body -->
    <!-- Footer -->
    <footer id="footer">
        <div class="container">
            <div class="row">
                <div class="col-sm-12 col-md-6 col-lg-4">
                    <div class="footer-logo">
                        <img width="231px" height="75px" alt="UTSA - Creating Bold Futures" src="../../college-dls/utsa/images/utsa-cbf.svg" />
                    </div>
                    <div class="footer-text">
                        <p>
                            <span class="footer-first-text">One UTSA Circle San Antonio, TX 78249</span>
                            <span class="footer-second-text">Information <a href="tel:+12104584011" class="">210-458-4011</a></span>
                        </p>
                    </div>
                    <div class="footer-social">
                        <a class="facebook" href="https://facebook.com/utsa" aria-label="Facebook"><i class="fab fa-facebook-f" aria-hidden="true"></i></a>
                        <a class="twitter" href="https://x.com/utsa" aria-label="Twitter"><i class="fa-brands fa-x-twitter" aria-hidden="true"></i></a>
                        <a class="youtube" href="https://youtube.com/user/utsa" aria-label="Youtube"><i class="fab fa-youtube" aria-hidden="true"></i></a>
                        <a class="linkedin" href="https://linkedin.com/school/the-university-of-texas-at-san-antonio/" aria-label="Linkedin"><i class="fab fa-linkedin" aria-hidden="true"></i></a>
                        <a class="instagram" href="https://instagram.com/utsa/" aria-label="Instagram"><i class="fab fa-instagram" aria-hidden="true"></i></a>
                    </div>
                </div>
                <div class="col-sm-12 col-md-6 col-lg-2">
                    <ul class="list-unstyled">
                        <li class="nav-item">
                            <a href="https://www.utsa.edu/locations" id="s-footer-locations">Locations</a>
                        </li>
                        <li class="nav-item">
                            <a href="https://www.utsa.edu/visit" id="s-footer-visit" aria-label="Visit UTSA">Visit UTSA</a>
                        </li>
                        <li class="nav-item">
                            <a href="https://www.utsa.edu/today" id="s-footer-utsa-today">UTSA Today</a>
                        </li>
                        <li class="nav-item">
                            <a href="https://www.utsa.edu/jobs" id="s-footer-jobs">Jobs</a>
                        </li>
                        <li class="nav-item">
                            <a href="https://alerts.utsa.edu/utsa-community-emergency-response" id="s-footer-emergency-contacts">Emergency Contacts</a>
                        </li>
                    </ul>
                </div>
                <div class="col-sm-12 col-md-6 col-lg-2">
                    <ul class="list-unstyled">
                        <li class="nav-item">
                            <a href="https://www.utsa.edu/directory" id="s-footer-directory">Directory</a>
                        </li>
                        <li class="nav-item">
                            <a href="https://www.utsa.edu/Compliance/Hotline.html" id="s-footer-report-fraud">Report
                                Fraud</a>
                        </li>
                        <li class="nav-item">
                            <a href="https://www.utsa.edu/eos/title-ix" id="s-footer-title-ix-reporting">Title IX
                                Reporting</a>
                        </li>
                        <li class="nav-item">
                            <a href="https://www.utsa.edu/ada" id="s-footer-ada-resources">ADA Resources</a>
                        </li>
                        <li class="nav-item">
                            <a href="https://www.utsa.edu/publicsafety/pd/clery_compliance" id="s-footer-clery-info">Clery
                                Information</a>
                        </li>
                    </ul>
                </div>
                <div class="col-sm-12 col-md-6 col-lg-4">
                    <ul class="list-unstyled">
                        <li class="nav-item">
                            <a href="https://www.utsa.edu/remembrance" id="s-footer-rr-remembrance">Roadrunner
                                Remembrance</a>
                        </li>
                        <li class="nav-item">
                            <a href="https://www.utsa.edu/mental-health-resources" id="s-footer-mental-health">Counseling/Mental Health</a>
                        </li>

                        <li class="nav-item">
                            <a href="https://www.utsa.edu/heerf/#reports-disclosure" id="s-footer-cares-act-reports">CARES
                                Act Reports &amp; Disclosure</a>
                        </li>
                        <li class="nav-item">
                            <a href="https://www.utsa.edu/hop/chapter9/9.24.html" id="s-footer-sexual-harassment">Sexual
                                Harassment and Sexual Misconduct Policy</a>
                        </li>
                    </ul>
                </div>
            </div>

            <div class="row">
                <div class="col-sm-12">
                    <hr />
                </div>
            </div>
        </div>
        <div class="copyright-subfooter">
            <div class="row">
                <div class="col-sm-12 col-md-6">
                    <div class="utsa-copyright">
                        <p>&copy; 2024 The University of Texas at San Antonio</p>
                    </div>
                </div>
                <div class="col-sm-12 col-md-6">
                    <nav class="subfooter-links">
                        <ul class="list-unstyled">
                            <li class="nav-item">
                                <a href="https://utsa.edu/policies" id="s-footer-policies">Policies</a>
                            </li>
                            <li class="nav-item">
                                <a href="https://utsa.edu/policies/accessibility" id="s-footer-web-accessibility">Web
                                    Accessibility</a>
                            </li>
                            <li class="nav-item">
                                <a href="https://utsa.edu/policies/reqlinks.html" id="s-footer-required-links">Required
                                    Links</a>
                            </li>
                            <li class="nav-item">
                                <a href="https://utsystem.edu/" id="s-footer-ut-system">UT System</a>
                            </li>
                        </ul>
                    </nav>
                </div>
            </div>
        </div>
    </footer>
    <!--End Footer -->
</div>
  • Content:
    /* components/03-example-pages/03-information-page/information-page.scss */
    /* BEGIN information-page.scss */
    
    /* Dark Mode - RFI Styles */
    @include color-mode(dark) {
    	.page-text-wrapper .request-info-design>.request-info-bg {
    		color: $blue;
    	}
    }
    /* Dark Mode - RFI END */
    
    /* END information-page.scss */
  • URL: /components/raw/rfi-page/RFI-page.scss
  • Filesystem Path: components/04-reference-pages/04-RFI-page/RFI-page.scss
  • Size: 307 Bytes
<div id="body-wrapper">
  <div id="skip-content"><a class="Skip-btn" href="#skipToContent">Skip To Main Content</a></div>
  <!-- Header Section -->
  <header id="header" class="main-header sticky-header">
    {{ render '@global-header' }}
    {{ render '@site-navigation' }}
  </header>
  <!-- Header Section End -->
  <!-- Main Content Body -->
  <main>
    <!--Slider -->
    <section class="slider-wrapper" id="main-slider-wrapper">
      {{> @banner--slim}}
      {{> @breadcrumb }}
    </section>
    <!-- End Slider -->

    <section class="page-text-wrapper" id="skipToContent">
      <div class="container">
        <div class="row">
          <div class="col-12">
              <h3>Lorem Ipsum </h3>
              <p>Lorem ipsum dolor sit amet, consectetur adipiscing elit. Maecenas tincidunt urna a porta lobortis.
                Aliquam sit amet eros quam. Fusce venenatis ipsum non est porta porttitor. Curabitur aliquet mattis
                elit. Mauris eget velit bibendum, auctor risus eu, elementum sem. Fusce magna neque, bibendum in
                efficitur ut, elementum non risus. Aenean vitae elementum risus. Donec ut sollicitudin nisl.
                Pellentesque vehicula eu neque ut iaculis. Phasellus dignissim augue in lorem pharetra dictum. Fusce
                pellentesque ut ipsum quis malesuada. </p>
          </div>
          <div class="col-xxl-2 col-xl-2 col-lg-2 col-md-12 col-sm-12">
            &nbsp;
          </div>
        </div>
        <div class="row">
          <div class="col-xl-12 col-lg-12 col-md-12 col-sm-12">
            <div class="request-info-design">
              <div class="request-info-bg">
                <form class="form-design">
                  <div class="row no-mrg">
                    <div class="col-xxl-4 col-xl-4 col-lg-4 col-md-12 col-sm-12">
                      <label for="first-name" class="label-design">First Name*</label>
                    </div>
                    <div class="col-xxl-8 col-xl-8 col-lg-8 col-md-12 col-sm-12">
                      <div class="form-group input-design">
                        <input id="first-name" type="text" title="First Name" required="">
                      </div>
                    </div>
                  </div>
                  <div class="row no-mrg">
                    <div class="col-xxl-4 col-xl-4 col-lg-4 col-md-12 col-sm-12">
                      <label for="last-name" class="label-design">Last Name*</label>
                    </div>
                    <div class="col-xxl-8 col-xl-8 col-lg-8 col-md-12 col-sm-12">
                      <div class="form-group input-design">
                        <input id="last-name" type="text" title="Last Name" required="">
                      </div>
                    </div>
                  </div>
                  <div class="row no-mrg">
                    <div class="col-xxl-4 col-xl-4 col-lg-4 col-md-12 col-sm-12">
                      <label for="email" class="label-design">Email*</label>
                    </div>
                    <div class="col-xxl-8 col-xl-8 col-lg-8 col-md-12 col-sm-12">
                      <div class="form-group input-design">
                        <input id="email" type="email" title="Email" required="">
                      </div>
                    </div>
                  </div>
                              <div class="row no-mrg">
                <div class="col-xxl-4 col-xl-4 col-lg-4 col-md-12 col-sm-12">
                    <label for="term" class="label-design">Term of Entry*</label>
                </div>
                <div class="col-xxl-8 col-xl-8 col-lg-8 col-md-12 col-sm-12">
                    <div class="form-group select-design">
                        <select id="term" class="js-example-disabled-results" aria-labelledby="term" required>
                            <option>Term</option>
                        </select>
                    </div>
                </div>
            </div>
            <div class="row no-mrg">
                <div class="col-xxl-4 col-xl-4 col-lg-4 col-md-12 col-sm-12">
                    <label for="select-program" class="label-design">Program/Major*</label>
                </div>
                <div class="col-xxl-8 col-xl-8 col-lg-8 col-md-12 col-sm-12">
                    <div class="form-group select-design">
                        <select id="select-program" class="js-example-disabled-results" aria-labelledby="select-program" required>
                            <option>Term</option>
                        </select>
                    </div>
                </div>
            </div>
                  <div class="row no-mrg textarea-row">
                    <div class="col-xxl-4 col-xl-4 col-lg-4 col-md-12 col-sm-12">
                      <label for="question" class="label-design">“Ask a counselor a question”</label>
                    </div>
                    <div class="col-xxl-8 col-xl-8 col-lg-8 col-md-12 col-sm-12">
                      <div class="form-group textarea-design">
                        <textarea title="Ask a counselor a question" id="question"></textarea>
                      </div>
                    </div>
                  </div>
                  <div class="row no-mrg">
                    <div class="col-xxl-4 col-xl-4 col-lg-4 col-md-12 col-sm-12">
                      <label for="phone" class="label-design">Phone</label>
                    </div>
                    <div class="col-xxl-8 col-xl-8 col-lg-8 col-md-12 col-sm-12">
                      <div class="form-group input-design">
                        <input id="phone" type="number" title="Phone">
                      </div>
                    </div>
                  </div>
            <div class="row no-mrg">
                <div class="col-xxl-4 col-xl-4 col-lg-4 col-md-12 col-sm-12">
                    <label for="select-freshman" class="label-design">Admit Type</label>
                </div>
                <div class="col-xxl-8 col-xl-8 col-lg-8 col-md-12 col-sm-12">
                    <div class="form-group select-design">
                        <select id="select-freshman" class="js-example-disabled-results" aria-labelledby="select-freshman">
                            <option>Freshman</option>
                        </select>
                    </div>
                </div>
            </div>
                  <div class="row no-mrg">
                    <div class="col-xxl-4 col-xl-4 col-lg-4 col-md-12 col-sm-12">
                      &nbsp;
                    </div>
                    <div class="col-xxl-8 col-xl-8 col-lg-8 col-md-12 col-sm-12">
                      <div class="radio-design-wrapper form-group">
                        <div class="radio-design">
                          <label for="domestic">Domestic</label>
                          <div class="radio-custom-design">
                            <input type="radio" id="domestic" value="Domestic">
                            <span class="white-circle">&nbsp;</span>
                          </div>
                        </div>
                        <div class="radio-design">
                          <label for="international">International</label>
                          <div class="radio-custom-design">
                            <input type="radio" id="international" value="International">
                            <span class="white-circle">&nbsp;</span>
                          </div>
                        </div>
                      </div>
                    </div>
                  </div>
                  <div class="row no-mrg">
                    <div class="col-xxl-4 col-xl-4 col-lg-4 col-md-12 col-sm-12">
                      &nbsp;
                    </div>
                    <div class="col-xxl-8 col-xl-8 col-lg-8 col-md-12 col-sm-12">
                      <div class="form-group submit-design">
                        <input class="form-btn" type="submit" value="Submit" aria-label="Submit">
                      </div>
                    </div>
                  </div>
                </form>
              </div>
            </div>
          </div>
        </div>
      </div>
    </section>

    <!-- ENROLLMENT CTA -->
    {{ render '@enrollment-call-to-action' }}
    <!-- END CTA -->
  </main>
  {{ render '@back-to-top' }}  
  <!-- End Main Content Body -->
  {{ render '@global-footer' }}
</div>