<%inherit file="../main.html"/>
<%!
import json

from openedx.core.lib.js_utils import escape_json_dumps
%>
<%namespace name='static' file='/static_content.html'/>

<%block name="js_extra">
<%static:require_module module_name="js/financial-assistance/financial_assistance_form_factory" class_name="FinancialAssistanceFactory">
FinancialAssistanceFactory({
    fields: ${escape_json_dumps(fields)},
    user_details: ${escape_json_dumps(user_details)},
    header_text: ${escape_json_dumps(header_text)},
    student_faq_url: ${json.dumps(student_faq_url)},
    dashboard_url: ${json.dumps(dashboard_url)},
    account_settings_url: ${json.dumps(account_settings_url)},
    platform_name: ${escape_json_dumps(platform_name)},
    submit_url: ${json.dumps(submit_url)}
});
</%static:require_module>
</%block>

<div class="financial-assistance-wrapper"></div>
