{% extends 'requests/_new.html' %} {% from "components/text_input.html" import TextInput %} {% from "components/options_input.html" import OptionsInput %} {% from "components/date_input.html" import DateInput %} {% from "components/phone_input.html" import PhoneInput %} {% block heading %} Information About You {% endblock %} {% block form %} {% include "fragments/flash.html" %}

Please tell us more about you.

{{ TextInput(f.fname_request) }}
{{ TextInput(f.lname_request) }}
{{ TextInput(f.email_request, placeholder='e.g. jane@mail.mil', validation='email') }} {{ PhoneInput(f.phone_number, f.phone_ext, placeholder_phone='e.g. (123) 456-7890') }}

We want to collect the following information from you for security auditing and determining priviledged user access.

{{ OptionsInput(f.service_branch) }} {{ OptionsInput(f.citizenship) }} {{ OptionsInput(f.designation) }} {{ DateInput(f.date_latest_training,tooltip="When was the last time you completed the IA training?
Information Assurance (IA) training is an important step in cyber awareness.",placeholder="MM / DD / YYYY", validation="date") }} {% endblock %}