35 lines
1.1 KiB
HTML
35 lines
1.1 KiB
HTML
{% extends 'requests_new.html' %}
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{% from "components/alert.html" import Alert %}
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{% from "components/text_input.html" import TextInput %}
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{% from "components/options_input.html" import OptionsInput %}
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{% block subtitle %}
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<h2>Information About You</h2>
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{% endblock %}
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{% block form %}
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{% if f.errors %}
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{{ Alert('There were some errors',
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message="<p>Please see below.</p>",
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level='error'
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) }}
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{% endif %}
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<p>Please tell us more about you.</p>
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{{ TextInput(f.fname_request, placeholder='First Name') }}
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{{ TextInput(f.lname_request, placeholder='Last Name') }}
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{{ TextInput(f.email_request, placeholder='jane@mail.mil', validation='email') }}
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{{ TextInput(f.phone_number, placeholder='e.g. (123) 456-7890', validation='usPhone') }}
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<p>We want to collect the following information from you for security auditing and determining priviledged user access</p>
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{{ TextInput(f.service_branch,placeholder='e.g. US Air Force, US Army, US Navy, Marine Corps, Defense Media Agency') }}
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{{ OptionsInput(f.citizenship) }}
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{{ OptionsInput(f.designation) }}
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{{ TextInput(f.date_latest_training, placeholder='MM / DD / YYYY', validation='date') }}
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{% endblock %}
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