<%@ Page Title="" Language="vb" AutoEventWireup="false" MasterPageFile="~/Application/Application.Master" CodeBehind="PersonalInformation.aspx.vb" Inherits="DriverPortal.PersonalInformation" %>
<%@ MasterType VirtualPath="Application.Master" %>
<%@ Register TagPrefix="ctrl" Namespace="DriverPortal" Assembly="DriverPortal" %>
<%@ Register Src="~/_include/controls/SocialBox.ascx" TagPrefix="ctrl" TagName="SocialBox" %>
<%@ Register Src="~/_include/controls/StatePicker.ascx" TagPrefix="ctrl" TagName="StatePicker" %>
<%@ Register Src="~/_include/controls/YesNoPicker.ascx" TagPrefix="ctrl" TagName="YesNoPicker" %>
<asp:Content ID="Content1" ContentPlaceHolderID="phContent" runat="server">

    <h3>Driver Information</h3>
    <h2>General Questions</h2>
        <div class="form-group">
            <asp:Label runat="server" AssociatedControlID="txtNameFirst" class="form-label mt-4"
                Text="Applicant's Legal First Name" />
            <asp:TextBox ID="txtNameFirst" runat="server" class="form-control"
                MaxLength="50" />
            <asp:RequiredFieldValidator runat="server" ControlToValidate="txtNameFirst"
                Text="required" Display="Dynamic" cssClass="form-control is-invalid" />
        </div>
        <div class="form-group">
                    <asp:Label runat="server" AssociatedControlID="txtNameMiddle" class="form-label mt-4"
                        Text="Applicant's Legal Middle Name" />
                    <asp:TextBox ID="txtNameMiddle" runat="server" class="form-control"
                        MaxLength="50" />
                </div>
        <div class="form-group">
                    <asp:Label runat="server" AssociatedControlID="txtNameLast" class="form-label mt-4"
                        Text="Applicant's Legal Last Name" />
                    <asp:TextBox ID="txtNameLast" runat="server" class="form-control"
                        MaxLength="50" />
                    <asp:RequiredFieldValidator runat="server" ControlToValidate="txtNameLast"
                        Text="required" Display="Dynamic" cssClass="form-control is-invalid" />
                </div>
        <div class="form-group">
                    <asp:Label runat="server" AssociatedControlID="txtNameSuffix" class="form-label mt-4"
                        Text="Applicant's Legal Suffix" />
                    <asp:TextBox ID="txtNameSuffix" runat="server" class="form-control"
                        MaxLength="50" />
                </div>
            
        <div class="form-group">
                <asp:Label runat="server" AssociatedControlID="txtSocial" class="form-label mt-4"
                    Text="Social Security Number" />
                <ctrl:SocialBox ID="txtSocial" runat="server" class="form-control" />
                <asp:RequiredFieldValidator runat="server" ControlToValidate="txtSocial"
                    Text="required" Display="Dynamic" cssClass="form-control is-invalid" />
                </div>
            
        <div class="form-group">
                <asp:Label runat="server" AssociatedControlID="txtDateBirth" class="form-label mt-4"
                    Text="Date of Birth" />
                <asp:TextBox ID="txtDateBirth" runat="server" class="form-control"
                    MaxLength="50" TextMode="Date" Width="250px" />
                <asp:RequiredFieldValidator runat="server" ControlToValidate="txtDateBirth"
                    Text="required" Display="Dynamic" cssClass="form-control is-invalid" />
        </div>
        <div class="form-group">
                <asp:Label runat="server" AssociatedControlID="txtEmail" class="form-label mt-4"
                    Text="Email" />
                <asp:TextBox ID="txtEmail" runat="server" MaxLength="128"  class="form-control" />
                <asp:RequiredFieldValidator runat="server" ControlToValidate="txtEmail"
                    Text="required" Display="Dynamic" cssClass="form-control is-invalid" />
        </div>
        <div class="form-group">
                <asp:Label runat="server" AssociatedControlID="txtPhone" class="form-label mt-4"
                    Text="Phone" />
                <asp:TextBox ID="txtPhone" runat="server" class="form-control"
                    MaxLength="50" TextMode="Phone"
                    placeholder="(###)###-####" />
                <asp:RequiredFieldValidator runat="server" ControlToValidate="txtPhone"
                    Text="required" Display="Dynamic" cssClass="form-control is-invalid" />
        </div>

  


</asp:Content>

