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_agency_information.html.erb
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58 lines (56 loc) · 2.99 KB
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<section class="content">
<div class="container-fluid">
<div class="row">
<div class="col-md-12">
<div id="agency_information" class="card">
<div class="card-header bg-white">
<h3 class="card-title"><strong>Agency Information</strong></h3>
</div>
<div class="card-body">
<%= form.input :name, label: "Agency Name", class: "form-control", wrapper: :input_group %>
<%= profile_form.input :agency_type,
# Symbolize keys, because simple_form will only do a I18n lookup for
# symbols
collection: Partners::Profile.agency_types_for_selection,
label: "Agency Type",
class: "form-control",
wrapper: :input_group %>
<%= profile_form.input :other_agency_type, label: "Other Agency Type", class: "form-control", wrapper: :input_group %>
<%= render "shared/custom_file_input",
form_builder: profile_form,
attachment: profile.proof_of_partner_status,
attachment_name: :proof_of_partner_status,
label_for: "partner_profile_proof_of_partner_status",
label_text: "501(c)(3) IRS Determination Letter or other Proof of Agency Status" %>
<%= profile_form.input :agency_mission, label: "Agency Mission", class: "form-control", wrapper: :input_group %>
<%= profile_form.input :address1, label: "Address (line 1)", class: "form-control", wrapper: :input_group %>
<%= profile_form.input :address2, label: "Address (line 2)", class: "form-control", wrapper: :input_group %>
<%= profile_form.input :city, label: "City", class: "form-control", wrapper: :input_group %>
<%= profile_form.input :state, label: "State", class: "form-control", wrapper: :input_group %>
<%= profile_form.input :zip_code, label: "Zip Code", class: "form-control", wrapper: :input_group %>
</div>
</div>
</div>
</div>
</div>
</section>
<section class="content">
<div class="container-fluid">
<div class="row">
<div class="col-md-12">
<div class="card">
<div class="bg-white card-header">
<h3 class="card-title"><strong>Program / Delivery Address (if different)</strong></h3>
</div>
<div class="card-body">
<%= profile_form.input :program_address1, label: "Address (line 1)", class: "form-control", wrapper: :input_group %>
<%= profile_form.input :program_address2, label: "Address (line 2)", class: "form-control", wrapper: :input_group %>
<%= profile_form.input :program_city, label: "City", class: "form-control", wrapper: :input_group %>
<%= profile_form.input :program_state, label: "State", class: "form-control", wrapper: :input_group %>
<%= profile_form.input :program_zip_code, label: "Zip Code", class: "form-control", wrapper: :input_group %>
</div>
</div>
</div>
</div>
</div>
</section>