codeforamerica/intake

{% extends "public_base.jinja" %}
{% import 'macros.jinja' as macros %}


{%- block header_title -%}
Apply to Clear My Record
{%- endblock header_title -%}

{% block body_class -%}
public apply
{%- endblock body_class %}

{% block county_scope %}
  {% include "includes/county_list.jinja" %}
{% endblock county_scope %}

{% block content %}
<section class="application_form content">
  <div class="container">
    <div class="row">
      <div class="col-xs-12 col-sm-8 col-md-6 col_centered">

<form class="county_form" action="" method="POST" accept-charset="utf-8">
  {#
    Non field errors are not included here because they will be
    displayed as flash messages in the header.
  #}
  
  {% include "includes/csrf_field.jinja" %}
  
  {% block form_content %}

  {{ form.render() }}
  
  <button type="submit">
  {%- block submit_button_label -%}
    Next
  {%- endblock submit_button_label -%}
  </button>
  {% endblock form_content %}

</form>

      </div>
    </div>
  </div>
</section>

{% endblock content %}