atst/templates/requests/screen-2.html.to
2018-07-05 16:40:34 -04:00

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{% extends '../requests_new.html.to' %}
{% block form %}
{% autoescape None %}
{% if f.errors %}
<b class="usa-input-error-message">There were some errors, see below.</b>
{% end %}
<h2 id="Information About You">Information About You</h2>
<p>Please tell us more about yourself.</p>
{{ f.fname_request.label }}
{{ f.fname_request(placeholder="Your first name") }}
{% for e in f.fname_request.errors %}
<div class="usa-input-error-message">
{{ e }}
</div>
{% end %}
{{ f.lname_request.label }}
{{ f.lname_request(placeholder="Your last name") }}
{% for e in f.lname_request.errors %}
<div class="usa-input-error-message">
{{ e }}
</div>
{% end %}
{{ f.email_request.label }}
{{ f.email_request(placeholder="jane@mail.mil") }}
{% for e in f.email_request.errors %}
<div class="usa-input-error-message">
{{ e }}
</div>
{% end %}
{{ f.phone_number.label }}
{{ f.phone_number(placeholder="(123) 456-7890") }}
{% for e in f.phone_number.errors %}
<div class="usa-input-error-message">
{{ e }}
</div>
{% end %}
{{ f.service_branch.label }}
{{ f.service_branch(placeholder="i.e. US Air Force, US Army, US Navy, Marine Corps, Defense Media Agency") }}
{% for e in f.service_branch.errors %}
<div class="usa-input-error-message">
{{ e }}
</div>
{% end %}
<fieldset class="usa-fieldset-inputs">
{{ f.citizenship.label }}
{{ f.citizenship(class_="usa-unstyled-list") }}
{% for e in f.citizenship.errors %}
<div class="usa-input-error-message">
{{ e }}
</div>
{% end %}
</fieldset>
<fieldset class="usa-fieldset-inputs">
{{ f.designation.label }}
{{ f.designation(class_="usa-unstyled-list") }}
{% for e in f.designation.errors %}
<div class="usa-input-error-message">
{{ e }}
</div>
{% end %}
</fieldset>
{{ f.date_latest_training.label }}
{{ f.date_latest_training }}
{% for e in f.date_latest_training.errors %}
<div class="usa-input-error-message">
{{ e }}
</div>
{% end %}
{% end %}