linanc/CApoets

= stylesheet_link_tag "submitpoemform"

.container
  .info
    %h1 Submit a poem
    %span
  = form_tag poems_path, :class => "modal", :multipart => true do
    %header.header
      %h1 California Poets in the Schools
    .content
      .form
        %h2 Poet-Teacher Information
        .form-row
          .input-group
            = label :poem, :teacher_name, 'Poet Teacher Name'
            = text_field :poem, :teacher_name, :class=> "form-control", :id=> "poem_teacher_name", :placeholder => 'ex: Jennifer Yip', :err => 'Poet Teacher Name'
        .form-row
          .input-group
            = label :poem, :email, 'Email'
            = text_field :poem, :email, :class=> "form-control", :id=> "poem_email", :placeholder => 'ex: jenniferyip@berkeley.edu', :err => "Email"           
        %h2 Student Information
        
        %entry1.student_instance
        
          .form-row
            .input-group
              = label :poem, :student_name, 'Student Name', :class => "label_student_name control-label"
              = text_field :poem, :student_name, :class => "entry_box input_student form-control", :id=> "poem_student_name", :placeholder => 'ex: Ivette Flores', :err => "Student Name"
            .input-group
              = label :poem, :grade, "Grade"
              = select :poem, 'grade', [ 'K', '1', '2', '3', '4', '5' , '6', '7', '8', '9', '10', '11', '12', 'Other']
          .form-row
            .input-group
              = label :poem, :student_teacher_name, 'Teacher Name'
              = text_field :poem, 'student_teacher_name', :class => "entry_box", :id => "poem_student_teacher_name", :type => 'text', :placeholder => 'ex: Nancy Li', :err => "Teacher Name"
          
          .form-row
            .input-group
              = label :poem, :school, 'School'
              = text_field :poem, 'school', :class => "entry_box", :id => "poem_school", :type => 'text', :placeholder => 'ex: Basis Middle School', :err => "School"
            .input-group
              = label :poem, :county, "County"
              = select :poem, 'county', [ 'Alameda', 'Alpine', 'Amador', 'Butte', 'Calaveras', 'Colusa' , 'Contra Costa', 'Del Norte', 'El Dorado', 'Fresno', 'Glenn', 'Humboldt', 'Imperial', 'Inyo', 'Kern', 'Kings', 'Lake', 'Lassen', 'Los Angeles', 'Madera', 'Marin', 'Mariposa', 'Mendocino', 'Merced', 'Modoc', 'Mono', 'Monterey', 'Napa', 'Nevada', 'Placer', 'Plumas', 'Riverside', 'Sacramento', 'San Benito', "San Bernardino", 'San Diego', 'San Francisco', 'San Joaquin', 'San Luis Obispo', 'San Mateo', 'Santa Barbara', 'Santa Clara', 'Santa Cruz', 'Shasta', 'Sierra', 'Siskiyou', 'Solano', 'Sonoma', 'Stanislaus', 'Sutter', 'Tehama', 'Trinity', 'Tulare', 'Tuolumne', 'Ventura', 'Yolo', 'Yuba']

          .form-row
            .input-group
              = label :poem, :title, 'Poem Title'
              = text_field :poem, 'title', :class => "entry_box", :id=> "poem_title", :type => 'text', :placeholder => 'ex: The Road Not Taken', :err => 'Poem Title'
              
          .form-row
            .input-group
              = label :poem, :poem, 'Poem'
              = text_area :poem, 'poem', :class => "entry_box", :id => "poem_entry", :placeholder => 'ex: sample poem', :class=> "form-control"
          .form-row
            .input-group
              = label :poem, :attachment, 'Attach Poem/Images'
              %p *Please combine multiple files into a single attachment prior to uploading.
              = file_field :poem, :attachment, :id => "poem_button", :err => 'Attach Poem/Images'
          -#.form-row
          -#  .input-group
          -#    %img#preview{:alt => "preview", :src => "http://golloscdn.com/common/no-image.jpg"} 
          .form-row
            .input-group
              = label :poem, :release, 'Release Form'
              %p *Download a blank student release form on the Secure Login page – section 3 <a href="http://www.californiapoets.org/secure-login" target="_blank">here</a>.
              = file_field :poem, :release, :id => "release_button", :err => 'Release Form'
          %br
      -#= button_tag 'Add another student', :id => "addStudent", :type=>"button"
    %br
    %footer.footer
      = submit_tag 'Submit the poem', :id => "button", :class=>"button"