@extends('layout.default')
@section('activeClassSignUp') active @stop
@section('js')
<script type="text/javascript">
$(document).ready(function () {
  $('[data-toggle="offcanvas"]').click(function () {
    $('.row-offcanvas').toggleClass('active')
  });
});
</script>
@stop
@section('css')
<style type="text/css">
.confirm_icon {
	float: right;
	position: fixed;
	z-index: 9999;
	right: 5px;
	top: 92%;
	color: #FFF;
	background: #008000;
	padding: 15px;
	border-radius: 6px;
	font-size: 14px;
	border: 1px solid yellow;
	-webkit-transform: translateY(-50%);
	-moz-transform: translateY(-50%);
	-ms-transform: translateY(-50%);
	transform: translateY(-50%)
}
</style>
@stop
@section('bodyContent')
@include('include.header')
@include('include.headerMenubar')
<div class="container">
  <div class="row">
    <div class="col-xs-12 col-sm-12 col-md-12">
      <div class="panel panel-default">
        <div class="panel-heading"> Sign Up for Staffing Backbone</div>
        <div class="panel-body">
          <div class="row">
            <div class="col-md-6">
              <div class="panel">
                  {!! Form::open(array('url' => '/register', 'class'=>'form-horizontal', 'method' => 'post','id'=>'register', 'name' => 'register',)) !!}
                  <div class="form-group">
                    <label class="control-label col-sm-5" for="">First Name</label>
                    <div class="col-sm-7">
                    {!! Form::text('firstName', '', array('autocomplete' => 'off', 'class' => 'form-control', 'id' => 'firstName', 'placeholder' => 'FIRST NAME' )) !!}
                    </div>
                  </div>
                  <div class="form-group">
                    <label class="control-label col-sm-5" for="">Last Name</label>
                    <div class="col-sm-7">
                    {!! Form::text('lastName', '', array('autocomplete' => 'off', 'class' => 'form-control', 'id' => 'lastName', 'placeholder' => 'LAST NAME' )) !!}
                    </div>
                  </div>
                  <div class="form-group">
                    <label class="control-label col-sm-5" for="">Email</label>
                    <div class="col-sm-7">
                    {!! Form::text('emailId', '', array('autocomplete' => 'off', 'class' => 'form-control', 'id' => 'emailId', 'placeholder' => 'EMAIL' )) !!}
                    </div>
                  </div>
                  <div class="form-group">
                    <label class="control-label col-sm-5" for="">Phone</label>
                    <div class="col-sm-7">
                     {!! Form::text('phone', '', array('autocomplete' => 'off', 'id' => 'phone', 'class' => 'form-control', 'placeholder' => 'PHONE')) !!}
                    </div>
                  </div>
                  <div class="form-group">
                    <label class="control-label col-sm-5" for="">Sign-on Name</label>
                    <div class="col-sm-7">
                    {!! Form::text('username', '', array('autocomplete' => 'off', 'id' => 'username', 'class' => 'form-control','placeholder' => 'SIGN-ON NAME')) !!}
                    </div>
                  </div>
                  <div class="form-group">
                    <label class="control-label col-sm-5" for="">Web Password</label>
                    <div class="col-sm-7">
                    {!! Form::password('webPassword', array('autocomplete' => 'off', 'class' => 'form-control', 'placeholder' => '', 'id' => 'webPassword', 'placeholder' => 'PASSWORD')) !!}
                    </div>
                  </div>
                  <div class="form-group">
                    <label class="control-label col-sm-5" for="">Confirm Password</label>
                    <div class="col-sm-7">
                    {!! Form::password('confirmPassword', array('autocomplete' => 'off', 'class' => 'form-control', 'placeholder' => '', 'id' => 'confirmPassword', 'placeholder' => 'PASSWORD')) !!}
                    </div>
                  </div>
                   <div class="form-group">
                    <label class="control-label col-sm-5" for="">User Type</label>
                    <div class="col-sm-7">
                    {!! Form::select('userType', $userType,'' , array('id' => 'userType', 'class' => 'form-control')) !!}
                    </div>
                  </div>
                  <div class="form-group">
                    <div class="col-sm-offset-5 col-sm-7">
                      {!! Form::button('SUBMIT', array('style' => 'margin: 0px; font-size:13px;', 'autocomplete' => 'off', 'id' => 'chkform', 'class' => 'btn btn-primary', 'onclick' => 'return validateRegisterForm("register")')) !!}
                    </div>
                  </div>
                  {!! Form::close() !!}
              </div>
            </div>
          </div>
        </div>
      </div>
    </div>
  </div>
</div>
<!-- /.container -->
@include('include.footer')
<div id="create-msg" class="confirm_icon" style="display: none;"></div>
@stop