99 lines
5.6 KiB
Smarty
99 lines
5.6 KiB
Smarty
<div class="container" style="margin-bottom: 50px;">
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<div class="col-md-9">
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<form id="form" style="margin-top: 50px;">
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<div class="col-md-4">
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<div class="form-group">
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<label for="fvorname">Vorname</label>
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<input id="fvorname" type="text" class="form-control" name="fvorname" placeholder="Vorname">
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</div>
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</div>
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<div class="col-md-4">
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<div class="form-group">
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<label for="fnachname">Nachname</label>
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<input id="fnachname" type="text" class="form-control" name="fnachname" placeholder="Nachname">
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</div>
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</div>
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<div class="col-md-4">
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<div class="form-group">
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<label for="femail">E-Mail</label>
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<input id="femail" type="email" class="form-control" name="femail" aria-describedby="emailHelp" placeholder="Email">
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</div>
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</div>
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<div class="clearfix"> </div>
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<hr>
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<div class="col-md-4">
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ich möchte Demokratie gestalten als:
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<br><br>
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<label class="custom-control custom-checkbox">
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<input type="checkbox" class="custom-control-input" name="UI-Designer">
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<span class="custom-control-indicator"></span>
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<span class="custom-control-description">UI-Designer*In</span>
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</label>
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<br>
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<label class="custom-control custom-checkbox">
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<input type="checkbox" class="custom-control-input" name="Front-End-Prog">
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<span class="custom-control-indicator"></span>
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<span class="custom-control-description">Front-End-Programmierer*In</span>
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</label>
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<br>
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<label class="custom-control custom-checkbox">
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<input type="checkbox" class="custom-control-input" name="Back-End-Prog">
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<span class="custom-control-indicator"></span>
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<span class="custom-control-description">Back-End-Programmierer*In</span>
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</label>
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<br>
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<label class="custom-control custom-checkbox">
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<input type="checkbox" class="custom-control-input" name="Kryptolog">
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<span class="custom-control-indicator"></span>
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<span class="custom-control-description">Kryptolog*In</span>
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</label>
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<br>
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<label class="custom-control custom-checkbox">
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<input type="checkbox" class="custom-control-input" name="Fragenredakteur">
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<span class="custom-control-indicator"></span>
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<span class="custom-control-description">Fragenredakteur*In</span>
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</label>
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<br>
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<label class="custom-control custom-checkbox">
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<input type="checkbox" class="custom-control-input" name="Marketingstrateg">
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<span class="custom-control-indicator"></span>
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<span class="custom-control-description">Marketingstrateg*In</span>
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</label>
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<br>
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<label class="custom-control custom-checkbox">
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<input type="checkbox" class="custom-control-input" name="Botschafter">
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<span class="custom-control-indicator"></span>
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<span class="custom-control-description">Botschafter*In</span>
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</label>
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<br>
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<label class="custom-control custom-checkbox">
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<input type="checkbox" class="custom-control-input" name="sonstiges">
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<span class="custom-control-indicator"></span>
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<span class="custom-control-description">sonstiges/ meine Idee</span>
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</label>
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</div>
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<div class="col-md-8">
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<div class="form-group">
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<label for="exampleTextarea"> Erzähle uns etwas über Deine Erfahrungen <span id="txtsincebox" style="font-size: x-small;color: #f44336;"> ( -<span >120</span> Zeichen )</span> </label>
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<textarea class="form-control" name="text" id="exampleTextarea" rows="15"></textarea>
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</div>
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</div>
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<div class="col-md-12">
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<div id="submitx" class="btn btn-primary" style="font-size: large;"><i class="fa fa-envelope"></i> Mitmischen!</div>
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</div>
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</form>
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</div>
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<div class="col-md-3" style="margin-top: 50px;">
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<!-- //startext -->
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<script type="text/javascript" src="//www.startnext.com/js/widget.v2.js" id="cfw-widget-script"></script>
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<div id="startnext-projekt-widget" class="cfw-widgetModalBody" data-id="57052" data-lang="de" style="margin-left: auto; margin-right: auto;">
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<div class="cfw-footer">
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<a href="https://www.startnext.com/democracy?utm_source=startnext&utm_medium=extwidget&utm_campaign=projectwidget&utm_term=projectpromo" class="cfw-widget-btn" target="_blank" title="DEMOCRACY | Demokratie_live, unterstützen auf Startnext!">
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<span>Projekt unterstützen</span>
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</a>
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</div>
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</div>
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<script type='text/javascript'>$.getScript('//www.startnext.com/js/widget.v2.js', function(){loadWidget();});</script>
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<!-- //startext -->
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</div>
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</div> |