Pages - Sample Form

<form id="wpw-edit-post" role="form" method="POST" data-wpwAjax="true">
  <div class="row clearfix">
    <div class="col-xs-12">
      <div class="form-group required">
        <label class="control-label">Title</label>
        <input type="text" class="form-control input-lg" name="_prefix_title" required value="">
      </div>
    </div>
  </div>
  <div class="row clearfix p-t-10">
    <div class="col-xs-6">
      <div class="panel panel-default">
          <div class="panel-heading separator ">
              <div class="panel-title">
                Labels sample
              </div>
          </div>
        <div class="panel-body p-t-10">
            <div class="form-group form-group-default required ">
                <input id="_prefix_seotags" class="tagsinput custom-tag-input " type="text" value="" data-role="tagsinput" name="_prefix_seotags" />
            </div>
        </div>
      </div>
    </div>
    <div class="col-xs-6">
      <div class="panel panel-default">
          <div class="panel-heading separator ">
              <div class="panel-title">
                Categories
              </div>
          </div>
            <div class="panel-body p-t-10 category-options">


                    <div class="checkbox check-success">
                        <input  type="checkbox" required
                                name="_prefix_category[]"
                                value="value1" required
                                >
                        <label for="catID">Name 1</label>
                    </div>
                    <div class="checkbox check-success">
                        <input  type="checkbox" required
                                name="_prefix_category[]"
                                value="value2"
                                >
                        <label for="catID">Name 2</label>
                    </div>
                    <div class="checkbox check-success">
                        <input  type="checkbox" required
                                name="_prefix_category[]"
                                value="value3"
                                >
                        <label for="catID">Name 3</label>
                    </div>

           </div>
      </div>
    </div>
  </div>
  <div class="row clearfix p-t-10 p-b-20">
      <div class="col-xs-12">
            <div class="form-group required">
                <label class="control-label">Outline</label>
                <textarea  name="_prefix_outline" class="form-control" rows="15"></textarea>
            </div>
            <div class="form-group required">
                <label class="control-label">Source</label>
                <input type="text" class="form-control input-lg" name="_prefix_source" value="" required />
            </div>
            <div class="form-group required">
                <label class="control-label">Audience</label>
                <br/>
                <select class="cs-select cs-skin-slide " name="_prefix_audience" data-init-plugin="cs-select" required>
                        <option value="">No option selected</option>
                        <option value="">option 1</option>
                        <option value="">option 2</option>
                        <option value="">option 3</option>
                </select>
            </div>
            <div class="form-group date required">
                <label class="control-label">Due Date</label>
                <div>
                    <div class="input-group date">
                        <input type="text" class="form-control" name="_prefix_due_date" value="" id="myDP" data-date-start-date="today" required/>
                        <span class="input-group-addon"><i class="glyphicon glyphicon-th"></i></span>
                    </div>
                </div>
            </div>
            <button class="btn btn-primary" type="submit">Send</button>
      </div>
  </div>
</form>