advanced_embed_more.html

<link rel="stylesheet" href="https://www.w3schools.com/w3css/4/w3.css">
<link rel="stylesheet" href="https://cdnjs.cloudflare.com/ajax/libs/font-awesome/4.7.0/css/font-awesome.min.css">

<div class="qs-style">
	<form action="https://winac.quickschools.com/sms/api/v1/studentapplications/submit.html" method="POST" target="_top">
		<div class="w3-container w3-teal">
			<h2 class="w3-center">Application Form</h2>
		</div>
		<div class="w3-row w3-section">
			<div class="w3-col" style="width:50px"><i class="w3-xxlarge fa fa-user"></i></div>
			<div class="w3-rest">
				<input class="w3-input w3-border" name="applicantName" type="text" placeholder="First Name">
			</div>
		</div>
		<div class="w3-row w3-section">
			<div class="w3-col" style="width:50px"><i class="w3-xxlarge fa fa-user"></i></div>
			<div class="w3-rest">
				<input class="w3-input w3-border" name="last" type="text" placeholder="Last Name">
			</div>
		</div>
		<div class="w3-row w3-section">
			<div class="w3-col" style="width:50px"><i class="w3-xxlarge fa fa-envelope-o"></i></div>
			<div class="w3-rest">
				<input class="w3-input w3-border" name="email" type="text" placeholder="Email">
			</div>
		</div>
		<div class="w3-row w3-section">
			<div class="w3-col" style="width:50px"><i class="w3-xxlarge fa fa-phone"></i></div>
			<div class="w3-rest">
				<input class="w3-input w3-border" name="phone" type="text" placeholder="Phone">
			</div>
		</div>
		
		<p>Application Remarks:</p>
		<textarea class="w3-input w3-border" name="applicationRemarks"></textarea>
		
		<input type="hidden" name="schoolId" value="<SCHOOLID>">
		<input type="hidden" name="schoolCode" value="<SCHOOLCODE>">
		<input type="hidden" name="userApiKey" value="<USERAPIKEY>">
		<input type="hidden" name="successUrl" value="http://fill-in-here">
		
		<button class="w3-button w3-block w3-section w3-teal w3-ripple w3-padding" >Submit Application</button>
	</form>
</div>