'type' => 'text',
'name' => 'date_of_birth',
'label' => 'Date of Birth',
- 'grid' => 2,
+ 'grid' => 2,
'req' => true
];
$date_of_birth_explain = [
'type' => 'static',
'value' => '<div class="static">The U.S. Department of Transportation requires that driver '
. 'applicants state their date of birth §391.21(b)(2).</div>',
- 'grid' => 10
+ 'grid' => 10
];
$stateHdr = [
'type' => 'static',
'label' => 'State',
- 'grid' => 1,
+ 'grid' => 1,
'req' => true,
'rcoll' => true
];
$licenseHdr = [
'type' => 'static',
'label' => 'License No.',
- 'grid' => 4,
+ 'grid' => 4,
'req' => true
];
$classHdr = [
'type' => 'static',
'label' => 'Class',
- 'grid' => 1,
+ 'grid' => 1,
'req' => true
];
$endorsementHdr = [
'type' => 'static',
'label' => 'Endorsement(s)',
- 'grid' => 4,
+ 'grid' => 4,
'req' => true
];
$exp_dateHdr = [
'type' => 'static',
'label' => 'Expiration Date',
- 'grid' => 2,
+ 'grid' => 2,
'req' => true
];
for ($i = 1; $i <= 4; ++$i) {
'type' => 'text',
'name' => 'state' . $i,
'label' => '',
- 'grid' => 1,
+ 'grid' => 1,
'req' => $licenseReq,
'rcoll' => true
];
'type' => 'text',
'name' => 'license' . $i,
'label' => '',
- 'grid' => 4,
+ 'grid' => 4,
'req' => $licenseReq
];
${'class'.$i} = [
'type' => 'text',
'name' => 'class' . $i,
'label' => '',
- 'grid' => 1,
+ 'grid' => 1,
'req' => $licenseReq
];
${'endorsement'.$i} = [
'type' => 'text',
'name' => 'endorsement' . $i,
'label' => '',
- 'grid' => 4,
+ 'grid' => 4,
'req' => $licenseReq
];
${'exp_date'.$i} = [
'type' => 'text',
'name' => 'exp_date' . $i,
'label' => '',
- 'grid' => 2,
+ 'grid' => 2,
'req' => $licenseReq
];
}
'name' => 'denied_license',
'label' => 'A. Have you ever been denied a license, permit or privilege to'
. ' operate a motor vehicle?',
- 'grid' => 4,
+ 'grid' => 4,
'req' => true,
'opts' => [[
'name' => 'denied_license_yes',
'type' => 'radio',
'name' => 'suspended_license',
'label' => 'B. Has any license, permit or privilege ever been suspended or revoked?',
- 'grid' => 4,
+ 'grid' => 4,
'req' => true,
'opts' => [[
'name' => 'suspended_license_yes',
'name' => 'disqualified_license',
'label' => 'C. Have you ever been disqualified for violations of the Federal'
. ' Motor Carrier Safety Regulations?',
- 'grid' => 4,
+ 'grid' => 4,
'req' => true,
'opts' => [[
'name' => 'disqualified_license_yes',
'type' => 'textarea',
'name' => 'details_of_license',
'label' => 'If you answered "yes" to A, B, C, give details',
- 'grid' => 12
+ 'grid' => 12
];
$titles = [
1 => 'Straight Truck',
$eq_classHdr = [
'type' => 'static',
'label' => 'Class of Equipment',
- 'grid' => 3,
+ 'grid' => 3,
'req' => false,
'rcoll' => true
];
$eq_typeHdr = [
'type' => 'static',
'label' => 'Type of Equipment (Van, Tank, Flat, etc.)',
- 'grid' => 4,
+ 'grid' => 4,
'req' => false
];
$eq_dates_fromHdr = [
'type' => 'static',
'label' => 'From',
- 'grid' => 1,
+ 'grid' => 1,
'req' => false
];
$eq_dates_toHdr = [
'type' => 'static',
'label' => 'To',
- 'grid' => 1,
+ 'grid' => 1,
'req' => false
];
$eq_approx_milesHdr = [
'type' => 'static',
'label' => 'Approximate total Miles',
- 'grid' => 3,
+ 'grid' => 3,
'req' => false
];
for ($i = 1; $i <= 4; ++$i) {
'type' => 'static',
'label' => '',
'value' => '<div class="static">'.$titles[$i].'</div>',
- 'grid' => 3,
+ 'grid' => 3,
'rcoll' => true
];
${'eq_type'.$i} = [
'type' => 'text',
'name' => 'eq_type' . $i,
'label' => '',
- 'grid' => 4,
+ 'grid' => 4,
'req' => false
];
${'eq_dates_from'.$i} = [
'type' => 'text',
'name' => 'eq_dates_from' . $i,
'label' => '',
- 'grid' => 1,
+ 'grid' => 1,
'req' => false
];
${'eq_dates_to'.$i} = [
'type' => 'text',
'name' => 'eq_dates_to' . $i,
'label' => '',
- 'grid' => 1,
+ 'grid' => 1,
'req' => false
];
${'eq_approx_miles'.$i} = [
'type' => 'text',
'name' => 'eq_approx_miles' . $i,
'label' => '',
- 'grid' => 3,
+ 'grid' => 3,
'req' => false
];
}
'type' => 'textarea',
'name' => 'last_5_years_states',
'label' => 'List states operated in during last five years:',
- 'grid' => 12
+ 'grid' => 12
];
$special_drivers_training = [
'type' => 'textarea',
'name' => 'last_5_years_states',
'label' => 'List special courses or training that will help you as a driver:',
- 'grid' => 12
+ 'grid' => 12
];
$driving_awards = [
'type' => 'textarea',
'name' => 'last_5_years_states',
'label' => 'List driving awards held and who awards were presented by:',
- 'grid' => 12
+ 'grid' => 12
];
$accident_review_dates = [
'type' => 'static',
'label' => 'Dates<br><br>',
- 'grid' => 3
+ 'grid' => 3
];
$accident_review_nature = [
'type' => 'static',
'label' => 'Nature of Accident (Head-on, Rear-End, Overturn, etc.)',
- 'grid' => 3
+ 'grid' => 3
];
$accident_review_fatalities = [
'type' => 'static',
'label' => 'Fatalities<br><br>',
- 'grid' => 3
+ 'grid' => 3
];
$accident_review_injuries = [
'type' => 'static',
'label' => 'Injuries<br><br>',
- 'grid' => 3
+ 'grid' => 3
];
for ($i = 1; $i <= 3; ++$i) {
${'accident_review_dates'.$i} = [
'type' => 'text',
'name' => 'accident_review_dates'.$i,
'label' => '',
- 'grid' => 3
+ 'grid' => 3
];
${'accident_review_nature'.$i} = [
'type' => 'text',
'name' => 'accident_review_nature'.$i,
'label' => '',
- 'grid' => 3
+ 'grid' => 3
];
${'accident_review_fatalities'.$i} = [
'type' => 'text',
'name' => 'accident_review_fatalities'.$i,
'label' => '',
- 'grid' => 3
+ 'grid' => 3
];
${'accident_review_injuries'.$i} = [
'type' => 'text',
'name' => 'accident_review_injuries'.$i,
'label' => '',
- 'grid' => 3
+ 'grid' => 3
];
}
$traffic_convictions_locations = [
'type' => 'static',
'label' => 'Location',
- 'grid' => 3
+ 'grid' => 3
];
$traffic_convictions_date = [
'type' => 'static',
'label' => 'Date',
- 'grid' => 3
+ 'grid' => 3
];
$traffic_convictions_charge = [
'type' => 'static',
'label' => 'Charge',
- 'grid' => 3
+ 'grid' => 3
];
$traffic_convictions_penalty = [
'type' => 'static',
'label' => 'Penalty',
- 'grid' => 3
+ 'grid' => 3
];
for ($i = 1; $i <= 3; ++$i) {
${'traffic_convictions_locations'.$i} = [
'type' => 'text',
'name' => 'traffic_convictions_locations'.$i,
'label' => '',
- 'grid' => 3
+ 'grid' => 3
];
${'traffic_convictions_date'.$i} = [
'type' => 'text',
'name' => 'traffic_convictions_date'.$i,
'label' => '',
- 'grid' => 3
+ 'grid' => 3
];
${'traffic_convictions_charge'.$i} = [
'type' => 'text',
'name' => 'traffic_convictions_charge'.$i,
'label' => '',
- 'grid' => 3
+ 'grid' => 3
];
${'traffic_convictions_penalty'.$i} = [
'type' => 'text',
'name' => 'traffic_convictions_penalty'.$i,
'label' => '',
- 'grid' => 3
+ 'grid' => 3
];
}
$resume_file = [
'type' => 'file',
'label' => 'Upload your resume',
- 'grid' => 12
+ 'grid' => 12
];
$form = [
['type' => 'header', 'label' => 'Driver Experience and Qualification'],