Does anyone know how to do this form?

Does anyone know how to do this form?

Hi, im sorry im new to this. I am not sure if this form is considered jquery:
http://go.brightcove.com/forms/training-inquiry/

However I would like to know how to setup a form like this, and what the code would be and how would i have the form go to my email address? is that possible to have it exactly how they do it?

thank you!