@extends('layout.default') @section('activeClassSignUp') active @stop @section('js') @stop @section('css') @stop @section('bodyContent') @include('include.header') @include('include.headerMenubar')
Sign Up for Staffing Backbone
{!! Form::open(array('url' => '/register', 'class'=>'form-horizontal', 'method' => 'post','id'=>'register', 'name' => 'register',)) !!}
{!! Form::text('firstName', '', array('autocomplete' => 'off', 'class' => 'form-control', 'id' => 'firstName', 'placeholder' => 'FIRST NAME' )) !!}
{!! Form::text('lastName', '', array('autocomplete' => 'off', 'class' => 'form-control', 'id' => 'lastName', 'placeholder' => 'LAST NAME' )) !!}
{!! Form::text('emailId', '', array('autocomplete' => 'off', 'class' => 'form-control', 'id' => 'emailId', 'placeholder' => 'EMAIL' )) !!}
{!! Form::text('phone', '', array('autocomplete' => 'off', 'id' => 'phone', 'class' => 'form-control', 'placeholder' => 'PHONE')) !!}
{!! Form::text('username', '', array('autocomplete' => 'off', 'id' => 'username', 'class' => 'form-control','placeholder' => 'SIGN-ON NAME')) !!}
{!! Form::password('webPassword', array('autocomplete' => 'off', 'class' => 'form-control', 'placeholder' => '', 'id' => 'webPassword', 'placeholder' => 'PASSWORD')) !!}
{!! Form::password('confirmPassword', array('autocomplete' => 'off', 'class' => 'form-control', 'placeholder' => '', 'id' => 'confirmPassword', 'placeholder' => 'PASSWORD')) !!}
{!! Form::select('userType', $userType,'' , array('id' => 'userType', 'class' => 'form-control')) !!}
{!! Form::button('SUBMIT', array('style' => 'margin: 0px; font-size:13px;', 'autocomplete' => 'off', 'id' => 'chkform', 'class' => 'btn btn-primary', 'onclick' => 'return validateRegisterForm("register")')) !!}
{!! Form::close() !!}
@include('include.footer') @stop