app/views/students/_form.html.erb
<% if @student.errors.any? %>
<div id="error_explanation">
<h2>
<%= pluralize(@student.errors.count, "error") %> prohibited
this student from being saved:
</h2>
<ul>
<% @student.errors.full_messages.each do |msg| %>
<li><%= msg %></li>
<% end %>
</ul>
</div>
<% end %>
<form role="form">
<section id="lvmInfo">
<h4>LVM Information</h4>
<hr>
<div class="row">
<div class="col-md-4">
<%= f.input :smartt_id, label: "SMARTT ID", placeholder: "####-######", maxlength: 11, required: false, input_html: { class: "mask_smartt_id" } %>
</div>
<div class="col-md-4">
<%= f.input :last_name_id, label: "Last name ID", placeholder: "#####", maxlength: 5, required: false, input_html: { class: "last_name_id" } %>
</div>
<div class="col-md-4">
<div class="pull-right">
<%= f.input :intake_date, input_html: { class: 'datepicker' }, placeholder: "YYYY-MM-DD", required: false %>
</div>
</div>
</div>
<div class="row">
<div class="col-md-12">
<label class="control-label select optional" for="student_all_tags">Tags</label>
<p class="help-block">Select tags from the list or create a new tag by typing in a word or phrase and then hitting the comma key.</p>
<%= f.input :all_tags,
label: false,
as: :select,
collection: Tag.order(:name).map{ |i| [i.name, i.name]},
input_html: {multiple: true},
required: false %>
</div>
</div>
</section>
<section id="contactInfo">
<h4>Contact Information</h4>
<hr>
<div class="row">
<div class ="col-md-6">
<%= f.input :first_name, maxlength: 255, required: false %>
</div>
<div class ="col-md-6">
<%= f.input :last_name, maxlength: 255, required: false %>
</div>
</div>
<div class="row">
<div class ="col-md-6">
<%= f.input :address1, label: "Address 1", maxlength: 255, required: false %>
</div>
<div class ="col-md-6">
<%= f.input :address2, label: "Address 2", maxlength: 255, required: false %>
</div>
</div>
<div class="row">
<div class="col-md-8">
<%= f.input :city, maxlength: 255, required: false %>
</div>
<div class="col-md-2">
<%= f.input :zip, label: "Zip Code", placeholder: "#####", maxlength: 5, required: false, input_html: { class: "mask_zip" } %>
</div>
<div class="col-md-2">
<%= f.input :state, collection: us_states, selected: "MA", required: false %>
</div>
</div>
<div class="row">
<div class="col-md-12">
<p class="help-block"> At least one phone number is required.</p>
</div>
<div class="col-md-4">
<%= f.input :home_phone, maxlength: 14, placeholder: "(###) ###-####", required: false, input_html: { class: "mask_phone" } %>
</div>
<div class="col-md-4">
<%= f.input :cell_phone, maxlength: 14, placeholder: "(###) ###-####", required: false, input_html: { class: "mask_phone" } %>
</div>
<div class="col-md-4">
<%= f.input :other_phone, maxlength: 14, placeholder: "(###) ###-####", required: false, input_html: { class: "mask_phone" } %>
</div>
</div>
<div class="row">
<div class="col-md-6">
<%= f.input :email, as: :string, label: "Email", maxlength: 255, required: false, input_html: { class: "mask_email" } %>
</div>
</div>
<div class="row">
<div class="col-md-4">
<%= f.input :emergency_contact_name, maxlength: 255, required: false %>
</div>
<div class="col-md-4">
<%= f.input :emergency_contact_phone, maxlength: 14, placeholder: "(###) ###-####", required: false, input_html: { class: "mask_phone" } %>
</div>
</div>
<section id="personalInfo">
<h4>Personal Information</h4>
<hr>
<div class="row">
<div class="col-md-4">
<div class="form-group">
<label class="control-label radio-label"> Gender </label>
<%= f.collection_radio_buttons :gender, [[:female, 'Female'] ,[:male, 'Male'], [:other, 'Other']], :first, :last %>
</div>
</div>
<div class="col-md-2">
<div class="form-group">
<label class="control-label radio-label"> Hispanic or Latino </label>
<%= f.collection_radio_buttons :hispanic_or_latino, [[:true, 'Yes'] ,[:false, 'No']], :first, :last %>
</div>
</div>
<div class="col-md-3">
<div class="form-group">
<%= f.input :date_of_birth, input_html: { class: 'datepicker' }, placeholder: "YYYY-MM-DD", required: false %>
</div>
</div>
<div class="col-md-3">
<%= f.input :status, collection: status_options, required: false %>
</div>
</div>
<div class="row">
<div class="col-md-4">
<%= f.input :native_language, collection: native_language, selected: "English", required: false %>
</div>
<div class="col-md-4">
<%= f.input :race, collection: race, required: false %>
</div>
<div class="col-md-4">
<%= f.input :country_of_birth, as: :string, maxlength: 255, required: false %>
</div>
</div>
</section>
<hr>
<div class="row">
<div class="col-md-12">
<div class="form-group">
<label class="control-label"> Contact Method Preferences </label>
</div>
</div>
</div>
<div class="row">
<div class="col-md-4">
<%= f.input :preferred_contact_method, collection: general_contact_preferences, label: "Preferred Contact", required: false %>
</div>
</div>
<div class="row">
<div class="col-md-1">
</div>
<div class="col-md-2">
<div class="form-group">
<label class="control-label"> Mail </label>
<%= f.label :mail_ok, class: 'checkbox' do %>
<%= f.check_box :mail_ok, as: :boolean, input_html: {checked: false}, label: "mail ok?", required: false %>
mail ok?
<% end %>
</div>
</div>
<div class="col-md-2">
<div class="form-group">
<label class="control-label"> Email </label>
<%= f.label :email_ok, class: 'checkbox' do %>
<%= f.check_box :email_ok, as: :boolean, input_html: {checked: false}, label: "email ok?", required: false %>
email ok?
<% end %>
</div>
</div>
<div class="col-md-2">
<div class="form-group">
<label class="control-label"> Cell Phone </label>
<%= f.label :cell_ok, class: 'checkbox' do %>
<%= f.check_box :cell_ok, as: :boolean, input_html: {checked: false}, label: "cell ok?", required: false %>
cell ok?
<% end %>
<%= f.label :cell_lvm_ok, class: 'checkbox' do %>
<%= f.check_box :cell_lvm_ok, as: :boolean, input_html: {checked: false}, label: "lvm ok?", required: false %>
lvm ok?
<% end %>
</div>
</div>
<div class="col-md-2">
<div class="form-group">
<label class="control-label"> Home Phone </label>
<%= f.label :home_ok, class: 'checkbox' do %>
<%= f.check_box :home_ok, as: :boolean, input_html: {checked: false}, label: "home ok?", required: false %>
home ok?
<% end %>
<%= f.label :home_lvm_ok, class: 'checkbox' do %>
<%= f.check_box :home_lvm_ok, as: :boolean, input_html: {checked: false}, label: "lvm ok?", required: false %>
lvm ok?
<% end %>
</div>
</div>
<div class="col-md-2">
<div class="form-group">
<label class="control-label"> Work Phone </label>
<%= f.label :work_ok, class: 'checkbox' do %>
<%= f.check_box :work_ok, as: :boolean, input_html: {checked: false}, label: "work ok?", required: false %>
work ok?
<% end %>
<%= f.label :work_lvm_ok, class: 'checkbox' do %>
<%= f.check_box :work_lvm_ok, as: :boolean, input_html: {checked: false}, label: "lvm ok?", required: false %>
lvm ok?
<% end %>
</div>
</div>
</div>
</section>
<section id="preferences">
<h4>Tutoring Preferences</h4>
<hr>
<div class="row">
<div class="col-md-3">
<%= f.input :availability,
as: :check_boxes,
collection: availability_times,
checked: @student.current_availability_array,
required: false %>
</div>
<div class="col-md-3">
<%= f.input :age_preference,
as: :check_boxes,
collection: age_preference,
checked: @student.age_preference_array,
label: "Student Preference",
required: false %>
</div>
<div class="col-md-6">
<%= f.input :transportation,
as: :check_boxes,
collection: transportation_preference,
checked: @student.transportation_preference_array,
label: "What kind of transportation will you be using to get to tutoring sessions?",
required: false %>
<%= f.input :meet_at_local_library, as: :radio_buttons, label: 'Can you meet at the local library?', required: false %>
<%= f.input :where_can_meet, label: 'If not, where can you meet?', required: false %>
</div>
<div class="col-md-12">
<%= f.input :other_preferences, as: :text, label: 'Other Preferences', required: false %>
</div>
</div>
</section>
<section id="background">
<h4>Background</h4>
<hr>
<div class="row">
<div class="col-md-4">
<div class="form-group">
<label class="control-label radio-label"> Criminal Conviction </label>
<%= f.collection_radio_buttons :criminal_conviction, [[:true, 'Yes'] ,[:false, 'No']], :first, :last %>
</div>
</div>
<div class="col-md-4">
<div class="form-group">
<label class="control-label radio-label"> Release on File </label>
<%= f.collection_radio_buttons :release_on_file, [[:true, 'Yes'] ,[:false, 'No']], :first, :last %>
</div>
</div>
<div class="col-md-4">
<%= f.input :release_sign_date, input_html: { class: 'datepicker' }, placeholder: "YYYY-MM-DD", required: false %>
</div>
</div>
<div class="row">
<div class="col-md-4">
<div class="form-group">
<label class="control-label radio-label"> Immigrant or US Native </label>
<%= f.collection_radio_buttons :immigrant_status, [[:true, 'Immigrant'] ,[:false, 'US native']], :first, :last %>
</div>
</div>
</div>
</section>
<section id="referral">
<h4>Referral & Services</h4>
<hr>
<div class="row">
<div class="col-md-4">
<%= f.input :referral, collection: referral, required: false %>
</div>
<div class="col-md-4">
<%= f.input :referral_other, label: "If Other:", maxlength: 255, required: false %>
</div>
<div class="col-md-4">
<%= f.input :education, collection: education, required: false %>
</div>
</div>
<div class="row">
<div class="col-md-12">
<%= f.input :why_lvm, as: :text, label: 'Why LVM?', required: false %>
</div>
</div>
<hr>
<div class="row">
<div class="col-md-6">
<%= f.input :core_service_request, collection: services, required: false %>
</div>
<div class="col-md-6">
<%= f.input :additional_service_request, as: :string, required: false %>
</div>
</div>
</section>
<section id="cdbg">
<h4>CDBG Information</h4>
<hr>
<div class="row">
<div class="col-md-3">
<div class="form-group">
<label class="control-label radio-label"> CBDG required </label>
<%= f.collection_radio_buttons :cdbg_required, [[:true, 'Yes'] ,[:false, 'No']], :first, :last %>
</div>
</div>
<div class="col-md-3">
<div class="form-group">
<label class="control-label radio-label"> US citizen </label>
<%= f.collection_radio_buttons :cdbg_us_citizen, [[:true, 'Yes'] ,[:false, 'No']], :first, :last %>
</div>
</div>
<div class="col-md-3">
<div class="form-group">
<label class="control-label radio-label"> Legal resident (green card or other)</label>
<%= f.collection_radio_buttons :cdbg_legal_resident, [[:true, 'Yes'] ,[:false, 'No']], :first, :last %>
</div>
</div>
<div class="col-md-3">
<div class="form-group">
<label class="control-label radio-label"> Female head of household </label>
<%= f.collection_radio_buttons :cdbg_female_head_of_household, [[:true, 'Yes'] ,[:false, 'No']], :first, :last %>
</div>
</div>
</div>
<div class="row">
<div class="col-md-6">
<%= f.input :cdbg_household_size, label: " Houshold size ", placeholder: '0', as: :integer, maxlength: 2, required: false %>
</div>
<div class="col-md-6">
<%= f.input :cdbg_household_income, label: " Household income ", collection: income_ranges, required: false %>
</div>
</div>
</section>
<section>
<%= f.button :submit %>
</section>
<hr>
</form>
<script>$('.datepicker').datepicker({ 'dateFormat': 'yy-mm-dd' });</script>
<script>
$('.mask_zip').inputmask("99999", { "placeholder": "#" });
$('.mask_phone').inputmask("(999) 999-9999", { "placeholder": "#" });
$('.mask_smartt_id').inputmask("9999-999999", { "placeholder": "#" });
$('.last_name_id').inputmask("99999", { "placeholder": "#" });
$('.mask_email').inputmask({ alias: "email" });
</script>
<script>initChosenTagSelect("student");</script>