{% extends 'requests/_new.html' %} {% from "components/alert.html" import Alert %} {% from "components/text_input.html" import TextInput %} {% from "components/options_input.html" import OptionsInput %} {% from "components/date_input.html" import DateInput %} {% 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', validation='email') }} {{ TextInput(f.phone_number, placeholder='e.g. (123) 456-7890', validation='usPhone') }}

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 %}