{{ Form::open(array('url' =>action('EmployeeSymptomFormController@postSaveForm'), 'method' => 'POST', 'id' => 'formApliccant')) }} {{ Form::hidden('rtuSaveStudentData', action('BlendedController@postSaveForm', array()), array('id'=>'rtuSaveStudentData')) }} {{ Form::hidden('serial_std',$student->serial_std,array('id' => 'serial_std' ,'class' => 'student-data' )) }} {{ Form::hidden('serial_grd',$guardian->serial_grd,array('id' => 'serial_grd' ,'class' => 'student-data' )) }} {{ Form::hidden('url_file_guardian',isset($formBlended->url_file_guardian) ? $formBlended->url_file_guardian : '',array('id' => 'url_file_guardian')) }} {{ Form::hidden('url_file_vaccine',isset($formBlended->url_file_vaccine) ? $formBlended->url_file_vaccine : '',array('id' => 'url_file_vaccine')) }}
{{Form::label('first_name_grd', 'Nombres: ')}}* {{Form::text('first_name_grd', $guardian->first_name_grd , ['id' => 'first_name_grd', 'class' => 'form-control student-data', 'readonly'])}}
{{Form::label('last_name_grd', 'Apellidos: ')}}* {{Form::text('last_name_grd', $guardian->last_name_grd, ['id' => 'last_name_grd', 'class' => 'form-control student-data', 'readonly'])}}
{{Form::label('id_grd', 'Número de Cédula o Pasaporte: ')}}* {{Form::text('id_grd', $guardian->id_grd, ['id' => 'id_grd', 'class' => 'form-control student-data', 'readonly'])}}
{{Form::label('email_grd', 'Correo Electrónico: ')}}* {{Form::text('email_grd', $guardian->email_grd, ['id' => 'email_grd', 'class' => 'form-control student-data', 'readonly'])}}
{{Form::label('first_name_std', 'Nombres: ')}}* {{Form::text('first_name_std', $student->first_name_std, ['id' => 'first_name_std', 'class' => 'form-control student-data', 'readonly'])}}
{{Form::label('last_name_std', 'Apellidos: ')}}* {{Form::text('last_name_std', $student->last_name_std, ['id' => 'last_name_std', 'class' => 'form-control student-data', 'readonly'])}}
{{Form::label('level_std', 'Nivel: ')}}* {{Form::text('level_std', $student->name_lvl . ' - ' . $student->name_clg, ['id' => 'level_std', 'class' => 'form-control student-data', 'readonly'])}}
{{Form::label('Name', 'El transporte se ofrecerá a partir de la tercera semana del Retorno progresivo, sujeto al número de estudiantes por unidad, y disponibilidad de rutas',['class' => 'text-muted'])}}
{{Form::label('transport', 'Requerirá transporte: ')}}*
{{ Form::hidden('require_transport',isset($formBlended->require_transport_fbl) ? $formBlended->require_transport_fbl : '',array('id' => 'require_transport')) }} require_transport_fbl) && $formBlended->require_transport_fbl == 'YES') ? 'checked':''}} required >
require_transport_fbl) && $formBlended->require_transport_fbl == 'NO') ? 'checked':''}} required >
{{Form::label('ADD', 'DIRECCIÓN DE DOMICILIO DEL ESTUDIANTE',['class' => 'text-muted'])}}
{{Form::label('main_street_fbl', 'Calle Principal: ')}}* {{Form::text('main_street_fbl', (isset($formBlended->main_street_fbl) ? $formBlended->main_street_fbl:''), ['id' => 'main_street_fbl', 'class' => 'form-control student-data', 'required'])}}
{{Form::label('second_street_fbl', 'Calle Secundaria: ')}}* {{Form::text('second_street_fbl', (isset($formBlended->second_street_fbl) ? $formBlended->second_street_fbl:''), ['id' => 'second_street_fbl', 'class' => 'form-control student-data', 'required'])}}
{{Form::label('Name', 'Sector: ')}}*
zone_transport_fbl) && $formBlended->zone_transport_fbl == 'QUITO NORTE') ? 'checked':''}} >
zone_transport_fbl) && $formBlended->zone_transport_fbl == 'QUITO CENTRO') ? 'checked':''}} >
zone_transport_fbl) && $formBlended->zone_transport_fbl == 'QUITO SUR') ? 'checked':''}} >
zone_transport_fbl) && $formBlended->zone_transport_fbl == 'CUMBAYA') ? 'checked':''}} >
zone_transport_fbl) && $formBlended->zone_transport_fbl == 'TUMBACO') ? 'checked':''}} >
zone_transport_fbl) && $formBlended->zone_transport_fbl == 'LOS CHILLOS') ? 'checked':''}} >
{{Form::label('lunch_fbl', '¿EL ESTUDIANTE REQUIERE REFRIGERIO?', [ 'class' => 'required'])}}
require_lunch_fbl) && $formBlended->require_lunch_fbl == 'YES') ? 'checked':''}} >
require_lunch_fbl) && $formBlended->require_lunch_fbl == 'NO') ? 'checked':''}} >
{{Form::label('transport', '¿EL ESTUDIANTE SE HA APLICADO LA VACUNA CONTRA EL COVID 19?', [ 'class' => 'required'])}} {{ Form::hidden('vaccine_covid_fbl',(isset($formBlended->vaccine_covid_fbl) ? $formBlended->vaccine_covid_fbl : ''),array('id' => 'vaccine_covid_fbl')) }}
vaccine_covid_fbl) && $formBlended->vaccine_covid_fbl == 'YES') ? 'checked':''}} >
vaccine_covid_fbl) && $formBlended->vaccine_covid_fbl == 'NO') ? 'checked':''}} >
{{Form::label('Name', 'ADJUNTAR DOCUMENTO (.pdf,.png,.jpg)', [ 'class' => (isset($formBlended->vaccine_covid_file_fbl) && $formBlended->vaccine_covid_file_fbl != null) ? 'text-muted': 'text-muted required'])}}
vaccine_covid_file_fbl) && $formBlended->vaccine_covid_file_fbl != null) ? '':'required'}}/>
{{Form::label('type_vaccine_fbl', 'Tipo de vacuna aplicada al estudiante: ')}}*
{{Form::label('Name', 'Autorización: ')}}*
authorization_assistance_fbl) && $formBlended->authorization_assistance_fbl == 'YES') ? 'checked':''}} required >
authorization_bio_protocols_fbl) && $formBlended->authorization_bio_protocols_fbl == 'YES') ? 'checked':''}} required >
authorization_retired_fbl) && $formBlended->authorization_retired_fbl == 'YES') ? 'checked':''}} required >
{{Form::label('Name', 'Adjuntar imagen de documento de identidad del representante (.pdf,.png,.jpg): ')}}{{(isset($formBlended->file_guardian_fbl) && $formBlended->file_guardian_fbl != null) ? '':'*'}}
file_guardian_fbl) && $formBlended->file_guardian_fbl != null) ? '':'required'}} />
{{ Form::close() }} {{ HTML::script('js/blended/load/form.js') }}