<li class="create-module wip">
  <a href="#" class="new-module">
    + Add new module
  </a>

  <div class="hidden">
    <form>
      <ul>
        <li>
          <input type="text" name="" id="" placeholder="Module title" />
        </li>
        <li>
          <select>
            <option>Use template</option>
            <option>Lecture Sequence</option>
            <option>Use template</option>
          </select>
        </li>
        <li>
          <input type="submit" value="Create & Edit Module" />
          <div>
            <a href="#">Save without edit</a>
            <a href="#">Cancel</a>
          </div>
        </li>
      </ul>
    </form>
  </div>
</li>