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edx
edx-platform
Commits
21fe5827
Commit
21fe5827
authored
Jan 09, 2013
by
Brian Wilson
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<
%
namespace
name=
'static'
file=
'static_content.html'
/>
<
%!
from
django
.
core
.
urlresolvers
import
reverse
%
>
<
%!
from
django_countries
.
countries
import
COUNTRIES
%
>
<
%!
from
student
.
models
import
UserProfile
%
>
<
%!
from
datetime
import
date
%
>
<
%!
import
calendar
%
>
<section
id=
"testcenter-register-modal"
class=
"modal testcenter-register-modal"
>
<div
class=
"inner-wrapper"
>
<div
id=
"register"
>
<header>
<h2>
Sign Up for Pearson VUE Test Center Proctoring
</h2>
<hr>
</header>
<form
id=
"test_register_form"
class=
"test_register_form"
method=
"post"
data-remote=
"true"
action=
"/create_test_registration"
>
<div
class=
"notice"
></div>
<div
id=
"register_error"
class=
"modal-form-error"
name=
"register_error"
></div>
<div
id=
"register_error"
name=
"register_error"
></div>
<!-- include these as pass-throughs -->
<input
id=
"id_email"
type=
"hidden"
name=
"email"
maxlength=
"75"
value=
"${user.email}"
/>
<input
id=
"id_username"
type=
"hidden"
name=
"username"
maxlength=
"75"
value=
"${user.username}"
/>
<!-- TODO: add the course somehow... -->
<!-- we should first start with information that we already know about the user,
though we should also give them the option to fix it.
Some things don't change, once assigned, like client_candidate_id
or candidate_id.
-->
<div
class=
"input-group"
>
<label
data-field=
"first_name"
>
First Name*
</label>
<input
name=
"first_name"
type=
"text"
value=
"${testcenteruser.first_name}"
maxlength=
"30"
placeholder=
"e.g. Jane"
>
<label
data-field=
"last_name"
>
Last Name*
</label>
<input
name=
"last_name"
type=
"text"
value=
"${testcenteruser.last_name}"
placeholder=
"e.g. Smith"
>
<label
data-field=
"middle_name"
>
Middle Name
</label>
<input
name=
"middle_name"
type=
"text"
value=
"${testcenteruser.middle_name}"
placeholder=
"e.g. Michael"
>
<label
data-field=
"suffix"
>
Suffix
</label>
<input
name=
"suffix"
type=
"text"
value=
"${testcenteruser.suffix}"
placeholder=
"e.g. Jr."
>
<label
data-field=
"salutation"
>
Salutation
</label>
<input
name=
"salutation"
type=
"text"
value=
"${testcenteruser.salutation}"
placeholder=
"e.g. Dr."
>
</div>
<div
class=
"input-group"
>
<label
data-field=
"address_1"
>
Address1*
</label>
<input
name=
"address_1"
type=
"text"
value=
"${testcenteruser.address_1}"
placeholder=
"123 Main St."
>
<label
data-field=
"address_2"
>
Address2
</label>
<input
name=
"address_2"
type=
"text"
value=
"${testcenteruser.address_2}"
placeholder=
"Apartment 2B."
>
<label
data-field=
"address_3"
>
Address3
</label>
<input
name=
"address_3"
type=
"text"
value=
"${testcenteruser.address_3}"
placeholder=
"Attention: John Smith"
>
<label
data-field=
"city"
>
City
</label>
<input
name=
"city"
type=
"text"
value=
"${testcenteruser.city}"
placeholder=
"Our Fair City"
>
<label
data-field=
"state"
>
State/Province
</label>
<input
name=
"state"
type=
"text"
value=
"${testcenteruser.state}"
placeholder=
"MA"
>
<label
data-field=
"postal_code"
>
Postal Code
</label>
<input
name=
"postal_code"
type=
"text"
value=
"${testcenteruser.postal_code}"
placeholder=
"02138"
>
<label
data-field=
"country"
>
Country Code*
</label>
<input
name=
"country"
type=
"text"
value=
"${testcenteruser.country}"
placeholder=
"USA"
>
</div>
<!-- for now, just leave off the phone and company information -->
<div
class=
"input-group"
>
<label
data-field=
"phone"
>
Phone*
</label>
<input
name=
"phone"
type=
"text"
value=
"${testcenteruser.phone}"
placeholder=
"1-23-456-7890"
>
<label
data-field=
"phone"
>
Extension
</label>
<input
name=
"extension"
type=
"text"
value=
"${testcenteruser.extension}"
placeholder=
"x123"
>
<label
data-field=
"phone_country_code"
>
Phone Country Code*
</label>
<input
name=
"phone_country_code"
type=
"text"
value=
"${testcenteruser.phone_country_code}"
placeholder=
"ABC"
>
<label
data-field=
"fax"
>
Fax
</label>
<input
name=
"fax"
type=
"text"
value=
"${testcenteruser.fax}"
placeholder=
"1-23-456-7891"
>
<label
data-field=
"fax_country_code"
>
Fax Country Code*
</label>
<input
name=
"fax_country_code"
type=
"text"
value=
"${testcenteruser.fax_country_code}"
placeholder=
"ABC"
>
<label
data-field=
"company_name"
>
Company
</label>
<input
name=
"company_name"
type=
"text"
value=
"${testcenteruser.company_name}"
placeholder=
"Acme Corporation"
>
</div>
<div
class=
"input-group"
>
<label
data-field=
"accommodations"
>
Accommodations Requested
</label>
<textarea
name=
"accommodations"
></textarea>
</div>
<div
class=
"submit"
>
<input
name=
"submit"
type=
"submit"
value=
"Register for Test"
>
</div>
</form>
</div>
<div
class=
"close-modal"
>
<div
class=
"inner"
>
<p>
✕
</p>
</div>
</div>
</div>
</section>
<script
type=
"text/javascript"
>
(
function
()
{
$
(
document
).
delegate
(
'#test_register_form'
,
'ajax:success'
,
function
(
data
,
json
,
xhr
)
{
if
(
json
.
success
)
{
location
.
href
=
"${reverse('dashboard')}"
;
}
else
{
$
(
".field-error"
).
removeClass
(
'field-error'
);
$
(
'#register_error'
).
html
(
json
.
value
).
stop
().
css
(
"display"
,
"block"
);
$
(
"[data-field='"
+
json
.
field
+
"']"
).
addClass
(
'field-error'
)
}
});
})(
this
)
</script>
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