@extends('layouts.applicant')
@section('content')
<div class="row">
	<div class="page-header">
		<h4>Apply::<strong>{{$c->course}}</strong> </h4>
		
	</div>
	<!-- /.row -->
    @if(!empty($status))
    <div class="alert alert-warning">
     	{{$status}}
    </div>

@endif
 <!-- /.row -->
            <div class="row">
            	<!-- /.col-lg-6 -->
                <div class="col-lg-12">
                    <div class="panel panel-default">
                        <div class="panel-heading">
                           @if(!empty($status)) {{$status}} @endif
                        </div>
                        <!-- /.panel-heading -->
                        <div class="panel-body">
                            
                            	@if (count($errors) > 0)
							    <div class="alert alert-danger">
							        <ul>
							            @foreach ($errors->all() as $error)
							                <li>{{ $error }}</li>
							            @endforeach
							        </ul>
							    </div>
							@endif
							<form method="POST" role="form" action="{{url('nursdistant')}}">
                            	<input type="hidden" name="_token" value="{{ csrf_token() }}">
                            	<input type="hidden" name="course" value="{{ $c->id }}" id="course">
                            	@if($c->id==777)
                            		<div class="row alert alert-danger">
                            			<div class="col-lg-12">
                            				
                            			</div>
                            		</div>
                            	@endif
	                            <div class="row">
	                            	<div class="col-sm-3">
	                            		<div class="form-group">
	                            			<label>Select Degree/Diploma/Certificate Course</label>
	                            			<select name="previous_course" class="form-control select2" required="" id="courset">
	                            				<option value="">Select--</option>
	                            				@if(count($types)>0)
	                            					@foreach($types as $type)
	                            					<option value="{{ $type->id }}" {{ old('previous_course')=="$type->id" ? 'selected='.'"'.'selected'.'"' : '' }}>

	                            					{{ $type->prev_course }}
	                            					</option>
	                            					@endforeach
	                            				@else
	                            				<option value="">No Course Set</option>
	                            				@endif
					            			</select>
	                            		</div>
	                            	</div>
	                            	<div class="col-sm-2">
	                            		<div class="form-group">
	                            			<label>Graduation Year</label>
	                            			<select name="graduation_year" class="form-control select2" required="">
	                            				<option value="">Select--</option>
	                            					                            				<option value="{{$i}}" {{old("graduation_year") ==$i ? "selected":"" }}>{{$i}}</option>
	                            					                            				<option value="{{$i}}" {{old("graduation_year") ==$i ? "selected":"" }}>{{$i}}</option>
	                            					                            				<option value="{{$i}}" {{old("graduation_year") ==$i ? "selected":"" }}>{{$i}}</option>
	                            					                            				<option value="{{$i}}" {{old("graduation_year") ==$i ? "selected":"" }}>{{$i}}</option>
	                            					                            				<option value="{{$i}}" {{old("graduation_year") ==$i ? "selected":"" }}>{{$i}}</option>
	                            					                            				<option value="{{$i}}" {{old("graduation_year") ==$i ? "selected":"" }}>{{$i}}</option>
	                            					                            				<option value="{{$i}}" {{old("graduation_year") ==$i ? "selected":"" }}>{{$i}}</option>
	                            					                            				<option value="{{$i}}" {{old("graduation_year") ==$i ? "selected":"" }}>{{$i}}</option>
	                            					                            				<option value="{{$i}}" {{old("graduation_year") ==$i ? "selected":"" }}>{{$i}}</option>
	                            					                            				<option value="{{$i}}" {{old("graduation_year") ==$i ? "selected":"" }}>{{$i}}</option>
	                            					                            				<option value="{{$i}}" {{old("graduation_year") ==$i ? "selected":"" }}>{{$i}}</option>
	                            					                            				<option value="{{$i}}" {{old("graduation_year") ==$i ? "selected":"" }}>{{$i}}</option>
	                            					                            				<option value="{{$i}}" {{old("graduation_year") ==$i ? "selected":"" }}>{{$i}}</option>
	                            					                            				<option value="{{$i}}" {{old("graduation_year") ==$i ? "selected":"" }}>{{$i}}</option>
	                            					                            				<option value="{{$i}}" {{old("graduation_year") ==$i ? "selected":"" }}>{{$i}}</option>
	                            					                            				<option value="{{$i}}" {{old("graduation_year") ==$i ? "selected":"" }}>{{$i}}</option>
	                            					                            				<option value="{{$i}}" {{old("graduation_year") ==$i ? "selected":"" }}>{{$i}}</option>
	                            					                            				<option value="{{$i}}" {{old("graduation_year") ==$i ? "selected":"" }}>{{$i}}</option>
	                            					                            				<option value="{{$i}}" {{old("graduation_year") ==$i ? "selected":"" }}>{{$i}}</option>
	                            					                            				<option value="{{$i}}" {{old("graduation_year") ==$i ? "selected":"" }}>{{$i}}</option>
	                            					                            				<option value="{{$i}}" {{old("graduation_year") ==$i ? "selected":"" }}>{{$i}}</option>
	                            					                            				<option value="{{$i}}" {{old("graduation_year") ==$i ? "selected":"" }}>{{$i}}</option>
	                            					                            				<option value="{{$i}}" {{old("graduation_year") ==$i ? "selected":"" }}>{{$i}}</option>
	                            					                            				<option value="{{$i}}" {{old("graduation_year") ==$i ? "selected":"" }}>{{$i}}</option>
	                            					                            				<option value="{{$i}}" {{old("graduation_year") ==$i ? "selected":"" }}>{{$i}}</option>
	                            					                            				<option value="{{$i}}" {{old("graduation_year") ==$i ? "selected":"" }}>{{$i}}</option>
	                            					                            				<option value="{{$i}}" {{old("graduation_year") ==$i ? "selected":"" }}>{{$i}}</option>
	                            					                            				<option value="{{$i}}" {{old("graduation_year") ==$i ? "selected":"" }}>{{$i}}</option>
	                            					                            				<option value="{{$i}}" {{old("graduation_year") ==$i ? "selected":"" }}>{{$i}}</option>
	                            					                            				<option value="{{$i}}" {{old("graduation_year") ==$i ? "selected":"" }}>{{$i}}</option>
	                            					                            				<option value="{{$i}}" {{old("graduation_year") ==$i ? "selected":"" }}>{{$i}}</option>
	                            					                            				<option value="{{$i}}" {{old("graduation_year") ==$i ? "selected":"" }}>{{$i}}</option>
	                            					                            				<option value="{{$i}}" {{old("graduation_year") ==$i ? "selected":"" }}>{{$i}}</option>
	                            					                            				<option value="{{$i}}" {{old("graduation_year") ==$i ? "selected":"" }}>{{$i}}</option>
	                            					                            				<option value="{{$i}}" {{old("graduation_year") ==$i ? "selected":"" }}>{{$i}}</option>
	                            					                            				<option value="{{$i}}" {{old("graduation_year") ==$i ? "selected":"" }}>{{$i}}</option>
	                            					                            				<option value="{{$i}}" {{old("graduation_year") ==$i ? "selected":"" }}>{{$i}}</option>
	                            					                            				<option value="{{$i}}" {{old("graduation_year") ==$i ? "selected":"" }}>{{$i}}</option>
	                            					                            				<option value="{{$i}}" {{old("graduation_year") ==$i ? "selected":"" }}>{{$i}}</option>
	                            					                            				<option value="{{$i}}" {{old("graduation_year") ==$i ? "selected":"" }}>{{$i}}</option>
	                            					                            				<option value="{{$i}}" {{old("graduation_year") ==$i ? "selected":"" }}>{{$i}}</option>
	                            					                            				<option value="{{$i}}" {{old("graduation_year") ==$i ? "selected":"" }}>{{$i}}</option>
	                            					                            				<option value="{{$i}}" {{old("graduation_year") ==$i ? "selected":"" }}>{{$i}}</option>
	                            					                            				<option value="{{$i}}" {{old("graduation_year") ==$i ? "selected":"" }}>{{$i}}</option>
	                            					                            				<option value="{{$i}}" {{old("graduation_year") ==$i ? "selected":"" }}>{{$i}}</option>
	                            					                            				<option value="{{$i}}" {{old("graduation_year") ==$i ? "selected":"" }}>{{$i}}</option>
	                            					                            				
					            			</select>
	                            		</div>
	                            	</div>
	                            	<div class="col-sm-2">
	                            		<div class="form-group">
	                            			<label>Employment Status</label>
	                            			<select name="employment_status" class="form-control select2" required="" id="emstatus">
	                            				<option value="">Select--</option>
	                            				<option value="Yes"{{old("employment_status") == 'Yes' ? "selected":"" }}>Yes</option>
	                            				<option value="No" {{old("employment_status") == 'No' ? "selected":""}}>No</option>
	                            				
					            			</select>
	                            		</div>
	                            	</div>
	                            	<div class="col-sm-4 emstatus">
	                            		<div class="form-group">
	                            			<label>Your Current Employer</label>
	                            			<input type="text" name="current_employer" value="{{old('current_employer')}}" class="form-control" id="current_employer">
	                            		</div>
	                            	</div>
	                            	<div class="col-sm-4 emstatus">
	                            		<div class="form-group">
	                            			<label>Your Station</label>
	                            			<input type="text" name="current_station" value="{{old('current_station')}}" class="form-control">
	                            		</div>
	                            	</div>
	                            </div>
	                            <div class="row">
	                            	<div class="col-sm-3">
	                            		<div class="form-group">
	                            			<label>Mode of Study</label><br><br>
	                            			@if(count($modes)>0)
	                            				@foreach($modes as $m)
	                            					<input type="radio" name="mode_of_study" value="{{$m->id}}" {{ old('mode_of_study')=="$m->id" ? 'checked='.'"'.'checked'.'"' : '' }}> {{$m->study_mode}} <br>
	                            				@endforeach
	                            			@else
	                            				<div class="alert-danger">
	                            					No Mode Set
	                            				</div>
	                            			@endif
	                            		</div>
	                            	</div>
	                            	<div class="col-sm-3">
	                            		<div class="form-group">
	                            			<label>Preferred Campus</label><br><br>
	                            			@if(count($campus)>0)

	                            				<select class="form-control select2" name="campus">
	                            				<option value="">--Select Campus--</option>
	                            				@foreach($campus as $c)
	                            					<option value="{{$c->id}}" {{ old('campus')=="$c->id" ? 'selected='.'"'.'selected'.'"' : '' }}>{{$c->name}}</option>
	                            				@endforeach
	                            				</select>
	                            			@else
	                            				<div class="alert-danger">
	                            					No Campus
	                            				</div>
	                            			@endif
	                            		</div>
	                            	</div>
	                            </div>
	                            
	                            <div class="row">
	                            	<div class="col-sm-4">
	                            	
	                            		<div class="form-group">
	                            			<input type="submit" value="Apply Course" name="gos" class="btn btn-primary" id="go1" >
	                            		</div>
	                            	</div>
	                            </div>
                            </form>
                        </div>
                        <!-- /.panel-body -->
                    </div>
                    <!-- /.panel -->
                </div>
                <!-- /.col-lg-6 -->
            	
            </div>

	
</div>

@stop