RFI Page

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">
        <!-- search-->
        <section class="global-searchbar" id="global-searchbar">
            <div class="container-fluid blue-bg">
                <!-- Do not update any ids without consulting the developer, js may depend on it -->
                <form action="#search" class="search-form" id="cse-search-box">
                    <div class="row d-flex align-items-center  buttons-bg-wrapper">
                        <div class="col-9 col-sm-10">
                            <input name="cx" type="hidden" value="000238266656426684962:mzli4pte7ko" />
                            <input name="cof" type="hidden" value="FORID:11" />
                            <label for="searchField">
                                <span class="visually-hidden-focusable text-white">Search Bar</span>
                            </label>
                            <input tabindex="-1" class="form-control global-searchfield" id="searchField" name="q" onblur="if (this.value == '') {this.value = 'Search UT San Antonio';}" onfocus="if (this.value == 'Search UT San Antonio') {this.value = '';}" size="15" type="text" value="Search UT San Antonio" />
                        </div>
                        <div class="col-3 col-sm-2">
                            <button class="btn btn-secondary btn-search" type="submit" id="search-button" tabindex="-1">
                                <span class="visually-hidden-focusable">Search</span>
                            </button>
                        </div>
                    </div>
                </form>
            </div>
        </section>
        <!-- .search -->
        <!-- top-bar -->
        <section class="top-bar primary">
            <div class="container-fluid g-0">
                <div class="row align-items-center">
                    <div class="col-4">
                        <a href="https://www.utsa.edu" title="UT San Antonio" class="tb-logo">
                            <!-- old classes: logo-full d-none d-sm-block -->
                            <img src="../../college-dls/utsa/images/ut-san-antonio-horizontal.svg" width="333px" height="20px" class="" alt="The University of Texas at San Antonio" />
                        </a>
                    </div>
                    <div class="col-8">
                        <nav class="quick-links-container">
                            <ul class="quick-links">
                                <li><a href="https://utsa.edu/today/" id="a-header-topbar-utsa-today" aria-label="UT San Antonio News">News</a></li>
                                <li><a href="https://my.utsa.edu/" id="a-header-topbar-myutsa">myUTSA</a></li>
                                <li class="search-toggle">
                                    <a href="#" class="global-search" id="search" role="button"><span class="fas fa-search"></span> <span class="visually-hidden" id="search-title">Search</span></a>
                                </li>
                            </ul>
                        </nav>
                    </div>
                </div>
            </div>
        </section>

        <!-- 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 secondary-footer">
            <div class="row">
                <div class="col-sm-12 col-md-12 col-lg-4 pb-4">
                    <div class="pb-3 footer-logo">
                        <a href="https://www.utsa.edu/">
                            <img src="../../college-dls/utsa/images/ut-san-antonio-horizontal-ow.svg" height="32px" width="auto" alt="UT San Antonio" />
                        </a>
                    </div>
                    <div class="footer-text">
                        <p>One UTSA Circle San Antonio, TX 78249</p>
                        <p>Information: <a href="tel:+12104584011">210-458-4011</a></p>
                    </div>
                </div>
                <div class="col-sm-12 col-lg-8">
                    <div class="secondary-footer-social">
                        <a class="facebook" href="https://facebook.com/utsa" aria-label="UT San Antonio on Facebook"><i class="fab fa-facebook-f" aria-hidden="true"></i></a>
                        <a class="twitter" href="https://x.com/utsa" aria-label="UT San Antonio on Twitter"><i class="fa-brands fa-x-twitter" aria-hidden="true"></i></a>
                        <a class="youtube" href="https://youtube.com/user/utsa" aria-label="UT San Antonio on 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="UT San Antonio on Linkedin"><i class="fab fa-linkedin" aria-hidden="true"></i></a>
                        <a class="instagram" href="https://instagram.com/utsa/" aria-label="UT San Antonio on Instagram"><i class="fab fa-instagram" aria-hidden="true"></i></a>
                    </div>
                    <nav class="secondary-footer-links">
                        <ul class="list-unstyled">
                            <li>
                                <a href="https://utsa.edu/about/careers#_ga=2.180574631.1891322053.1753909729-1983867998.1741794788">Careers</a>
                            </li>
                            <li>
                                <a href="https://map.utsa.edu">Campus Map</a>
                            </li>
                            <li>
                                <a href="https://utsa.edu/about/directories">Directories</a>
                            </li>
                            <li>
                                <a href="https://utsa.edu/about/university-organization">University Organization</a>
                            </li>
                        </ul>
                    </nav>
                </div>
            </div>
            <hr>
            <div class="copyright-subfooter">
                <div class="row">
                    <div class="col-sm-12">
                        <nav class="subfooter-links">
                            <ul class="list-unstyled">
                                <li class="nav-item">
                                    <div class="utsa-copyright">&copy; 2025 The University of Texas at San Antonio
                                    </div>
                                </li>
                                <li class="nav-item">
                                    <a href="https://www.utsa.edu/ba-administration-operations/services/risk-emergency-management/business-continuity-emergency-management/emergency-response-guide.html" id="s-footer-response-guide">Emergency Response Guide</a>
                                </li>
                                <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--rebrand' }}
    {{ 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--rebrand-secondary' }}
</div>