33 lines
1.2 KiB
HTML
33 lines
1.2 KiB
HTML
{% 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" %}
|
|
|
|
<p>Please tell us more about you.</p>
|
|
|
|
<div class='form-row'>
|
|
<div class='form-col form-col--half'>{{ TextInput(f.fname_request) }}</div>
|
|
<div class='form-col form-col--half'>{{ TextInput(f.lname_request) }}</div>
|
|
</div>
|
|
|
|
{{ 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') }}
|
|
|
|
<p>We want to collect the following information from you for security auditing and determining priviledged user access.</p>
|
|
|
|
{{ 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? <br> Information Assurance (IA) training is an important step in cyber awareness.",placeholder="MM / DD / YYYY", validation="date") }}
|
|
{% endblock %}
|