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Hudson, Wisconsin(WI), 54016</a>
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<li><a href="teacher.html">Teacher</a></li>
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Contact Us
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<h3 class="it-breadcrumb-title">Instructor registration</h3>
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<div class="it-breadcrumb-list">
<span><a href="index-2.html">home</a></span>
<span class="dvdr">//</span>
<span>Instructor registration</span>
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<div class="it-student-area it-instructor-style pt-120 pb-120">
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<h4 class="it-student-title">Instructor Registration</h4>
<div class="it-student-content mb-70">
<h4 class="it-student-subtitle">Fields with are required</h4>
<p>Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim</p>
</div>
<div class="it-student-regiform mb-40">
<h4 class="it-student-regiform-title">Credentials</h4>
<form action="#">
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<div class="it-student-regiform-item">
<label>Email *</label>
<input type="text">
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<div class="it-student-regiform-item">
<label>Password minimum (5 Characters)</label>
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<div class="it-student-regiform-item">
<label> Confirm Password *</label>
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<div class="it-student-regiform">
<h4 class="it-student-regiform-title">Profile information</h4>
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<div class="row">
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<label>First Name *</label>
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<div class="col-xl-6">
<div class="it-student-regiform-item">
<label>Last Name *</label>
<input type="text">
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</div>
<div class="col-xl-6">
<div class="it-student-regiform-item">
<label>Birth Date *</label>
<input type="text">
</div>
</div>
<div class="col-xl-6">
<div class="it-student-regiform-item">
<label>Gender *</label>
<div class="postbox__select">
<select>
<option>Select an option</option>
<option>01 Year</option>
<option>02 Year</option>
<option>03 Year</option>
<option>04 Year</option>
<option>05 Year</option>
</select>
</div>
</div>
</div>
<div class="col-xl-12">
<div class="it-student-regiform-item">
<label>Nationality *</label>
<div class="postbox__select">
<select>
<option>Bangladesh</option>
<option>01 Year</option>
<option>02 Year</option>
<option>03 Year</option>
<option>04 Year</option>
<option>05 Year</option>
</select>
</div>
</div>
</div>
<div class="col-xl-6">
<div class="it-student-regiform-item">
<label>Address 1 *</label>
<div class="postbox__select">
<select>
<option>Select an option</option>
<option>01 Year</option>
<option>02 Year</option>
<option>03 Year</option>
<option>04 Year</option>
<option>05 Year</option>
</select>
</div>
</div>
</div>
<div class="col-xl-6">
<div class="it-student-regiform-item">
<label>Address 2 *</label>
<input type="email">
</div>
</div>
<div class="col-xl-12">
<div class="it-student-regiform-item">
<label>Country * </label>
<div class="postbox__select">
<select>
<option>Bangladesh</option>
<option>01 Year</option>
<option>02 Year</option>
<option>03 Year</option>
<option>04 Year</option>
<option>05 Year</option>
</select>
</div>
</div>
</div>
<div class="col-xl-12">
<div class="it-student-regiform-item">
<label>City *</label>
<input type="text">
</div>
</div>
<div class="col-xl-12">
<div class="it-student-regiform-item">
<label>Postcode / ZIP (optional)</label>
<input type="text">
</div>
</div>
<div class="col-xl-12">
<div class="it-student-regiform-item">
<label>Password *</label>
<input type="text">
</div>
</div>
<div class="col-xl-12">
<div class="it-student-regiform-item">
<label>Phone *</label>
<input type="text">
</div>
</div>
<div class="col-xl-12">
<div class="it-student-regiform-item">
<label>Begin studies *</label>
<input type="text">
</div>
</div>
</div>
<div class="col-xl-12">
<div class="it-student-regiform-item">
<label>Highest Degree *</label>
<div class="postbox__select">
<select>
<option>Select an option</option>
<option>01 Year</option>
<option>02 Year</option>
<option>03 Year</option>
<option>04 Year</option>
<option>05 Year</option>
</select>
</div>
</div>
</div>
<div class="col-xl-12">
<div class="it-student-regiform-item">
<label>Intended Study Field *</label>
<div class="postbox__select">
<select>
<option>Select an option</option>
<option>01 Year</option>
<option>02 Year</option>
<option>03 Year</option>
<option>04 Year</option>
<option>05 Year</option>
</select>
</div>
</div>
</div>
<div class="col-xl-12">
<div class="it-student-regiform-item">
<label>Degree Sought * </label>
<div class="postbox__select">
<select>
<option>Select an option</option>
<option>01 Year</option>
<option>02 Year</option>
<option>03 Year</option>
<option>04 Year</option>
<option>05 Year</option>
</select>
</div>
</div>
</div>
<div class="col-xl-12">
<div class="postbox__resume-wrap mb-50 d-flex align-items-center flex-wrap">
<div class="postbox__resume mr-20">
<input id="cv" type="file" hidden>
<label for="cv">
<span>
Choose file
</span>
</label>
</div>
<div class="postbox__resume border-transparent">
<input id="cvv" type="file" hidden>
<label for="cvv">
<span>
no file chosen
</span>
</label>
</div>
</div>
</div>
<div class="col-xl-12">
<div class="it-instructor-wrap">
<div class="it-signup-agree">
<h4 class="it-student-subtitle">Fields with are required</h4>
<div class="form-check">
<input class="form-check-input" type="checkbox" value id="flexCheckDefault">
<label class="form-check-label" for="flexCheckDefault">
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim
veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Duis aute irure dolor in reprehenderit in voluptate
velit esse cillum dolore eu fugiat nulla pariatur.Excepteur sint occaecat cupidatat non proident, sunt in culpa qui officia deserunt mollit anim id est.
</label>
</div>
</div>
</div>
</div>
<div class="it-student-regiform-btn">
<button class="it-btn">
<span>
Submit now
<svg width="17" height="14" viewBox="0 0 17 14" fill="none" xmlns="http://www.w3.org/2000/svg">
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<path d="M1 7.24023H16" stroke="currentcolor" stroke-width="1.5" stroke-miterlimit="10" stroke-linecap="round" stroke-linejoin="round" />
</svg>
</span>
</button>
</div>
</div>
</form>
</div>
</div>
</div>
</div>
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