<div class="block-flat">

    <form class="form-horizontal" id="degree" method="post">
        <div class="form-group"><label class="col-lg-2 control-label">Session Name</label>

            <div class="col-lg-6">
                <input type="text" id="degreeName" name="degreeName" class="form-control" placeholder="Session Name">
            </div>
        </div>
        <div class="form-group"><label class="col-lg-2 control-label">Is Current</label>

            <div class="col-lg-10"><input type="checkbox" id="status" name="status" style="margin-top:12px;"></div>
        </div>
        <div class="form-group"><label class="col-lg-2 control-label">Is Admission</label>

            <div class="col-lg-10"><input type="checkbox" id="status" name="status" style="margin-top:12px;"></div>
        </div>
        <div class="form-group"><label class="col-lg-2 control-label">Status</label>

            <div class="col-lg-10"><input type="checkbox" id="status" name="status" style="margin-top:12px;"></div>
        </div>

        <div class="form-group">
            <div class="col-lg-offset-2 col-lg-10">
                <span class="modal_msg pull-left"></span>
                <input type="submit" id="createModule" class="btn btn-primary" value="submit">
                <input type="reset" class="btn btn-default" value="Reset">
            </div>
        </div>
    </form>
</div>