JSFiddle - React, Tailwind, and code Playground
HTML
<link rel="stylesheet" href="//netdna.bootstrapcdn.com/bootstrap/3.1.1/css/bootstrap.min.css">
<div class="col-xs-12 col-sm-12">
<form role="form">
<div class="form-group">
<div class="col-xs-3 text-right">
<label for="cpTitle">Title</label>
</div>
<div class="col-xs-9">
<input type="text" class="form-control" placeholder="Title of the program" id="cpTitle" />
</div>
</div>
<div class="form-group">
<div class="col-xs-3 text-right">
<label for="cpDesc">Description</label>
</div>
<div class="col-xs-9">
<textarea class="form-control" rows="3" placeholder="Description of the program" id="cpDesc"></textarea>
</div>
<div>
<div class="form-group">
<div class="col-xs-3 text-right">
<label for="cpAddr">Program address</label>
</div>
<div class="col-xs-9">
<input type="text" class="form-control" placeholder="Name of Facility" id="cpAddr">
<input type="text" class="form-control" placeholder="Street 1">
<input type="text" class="form-control" placeholder="Street 2">
<div class="col-xs-4">
<input type="text" class="form-control" placeholder="State">
</div>
<div class="col-xs-4">
<input type="text" class="form-control" placeholder="City">
</div>
<div class="col-xs-4">
<input type="text" class="form-control" placeholder="Zip">
</div>
</div>
</div>
</form>
</div>