{% extends 'requests_new.html' %} {% from "components.html" import Alert, TextInput, OptionsInput %} {% block subtitle %}

Information About You

{% endblock %} {% block form %} {% if f.errors %} {{ Alert('There were some errors', message="

Please see below.

", level='error' ) }} {% endif %}

Please tell us more about you.

{{ TextInput(f.fname_request,placeholder='First Name') }} {{ TextInput(f.lname_request,placeholder='Last Name') }} {{ TextInput(f.email_request,placeholder='jane@mail.mil') }} {{ TextInput(f.phone_number,placeholder='(123) 456-7890') }}

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

{{ TextInput(f.service_branch,placeholder='e.g. US Air Force, US Army, US Navy, Marine Corps, Defense Media Agency') }} {{ OptionsInput(f.citizenship) }} {{ OptionsInput(f.designation) }} {{ TextInput(f.date_latest_training) }} {% endblock %}