Files
atst/templates/requests/screen-2.html

33 lines
967 B
HTML

{% extends 'requests_new.html' %}
{% from "components.html" import Alert, TextInput, OptionsInput %}
{% block subtitle %}
<h2>Information About You</h2>
{% endblock %}
{% block form %}
{% if f.errors %}
{{ Alert('There were some errors',
message="<p>Please see below.</p>",
level='error'
) }}
{% endif %}
<p>Please tell us more about you.</p>
{{ 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') }}
<p>We want to collect the following information from you for security auditing and determining priviledged user access</p>
{{ 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 %}