DAHLIA Pattern Library

Application Name: Default 

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<section class="app-container">
    <div class="row collapse">
        <div class="medium-6 medium-centered columns fixed-width">

            <div class="app-language">
                <ul class="lined-nav">
                </ul>
            </div>

            <div class="app-header app-card form-card">
                <header class="app-card_header">
                    <h1 class="app-card_title">Application: 123 Main St.</h1>
                </header>
                <div class="app-card_nav">
                    <ol class="progress-nav">
                        <li class="progress-nav_item active"><a href="#">You</a></li>
                        <li class="progress-nav_item disabled"><a href="#">Household</a></li>
                        <li class="progress-nav_item disabled"><a href="#">Preferences</a></li>
                        <li class="progress-nav_item disabled"><a href="#">Income</a></li>
                        <li class="progress-nav_item disabled"><a href="#">Review</a></li>
                    </ol>
                </div>
            </div>

            <form class="app-card form-card">
                <div class="app-inner leader border-bottom">
                    <h2 class="app-card_question">We’ll get started by getting some information about you. First, what’s your name?</h2>
                </div>

                <div class="app-inner inset">
                    <div class="form-group">
                        <h3 class="form-label caps">Your Name</h3>
                        <label for="textInput" class="sr-only">First Name</label>
                        <input type="text" id="textInput" name="textInput" placeholder="First Name" class="" /> <label for="textInput" class="sr-only">Middle Name (optional)</label>
                        <input type="text" id="textInput" name="textInput" placeholder="Middle Name (optional)" class="" /> <label for="textInput" class="sr-only">Last Name</label>
                        <input type="text" id="textInput" name="textInput" placeholder="Last Name" class="" /> </div>

                    <div class="form-group">
                        <h3 class="form-label caps">Your Date of Birth</h3>
                        <div class="form-date-of-birth row collapse">
                            <div class="form-group-month large-2 columns">
                                <label for="date_of_birth_1" class="sr-only">MM</label>
                                <input type="number" name="date_of_birth_1" min="1" max="12" placeholder="MM" />
                            </div>
                            <div class="form-group-day large-2 columns">
                                <label for="date_of_birth_2" class="sr-only">DD</label>
                                <input type="number" name="date_of_birth_2" min="1" max="31" placeholder="DD" />
                            </div>
                            <div class="form-group-year large-2 columns end">
                                <label for="date_of_birth_3" class="sr-only">YYYY</label>
                                <input type="number" name="date_of_birth_3" min="1900" max="2016" placeholder="YYYY" />
                            </div>
                        </div>
                    </div>
                </div>

                <!--         <div data-alert class="alert-box primary no-icon">
  <p class="alert-body">
    These fields are editable via your account settings
  </p>
  <a href="#" class="close ">&times;</a>
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 -->

                <!--         <div class="app-inner inset">
          <div class="form-group">
            <h3 class="form-label caps">Your Name <span class="ui-icon ui-static ui-medium i-primary ">
  <svg>
    <use xlink:href="#i-lock"></use>
  </svg>
</span>
</h3>
            <label for="textInput" class="sr-only">First Name</label>
            <input type="text" id="textInput" name="textInput" placeholder="First Name" class="" readonly />            <label for="textInput" class="sr-only">Middle Name (optional)</label>
            <input type="text" id="textInput" name="textInput" placeholder="Middle Name (optional)" class="" readonly />            <label for="textInput" class="sr-only">Last Name</label>
            <input type="text" id="textInput" name="textInput" placeholder="Last Name" class="" readonly />          </div>

          <div class="form-group">
            <h3 class="form-label caps">Your Date of Birth <span class="ui-icon ui-static ui-medium i-primary ">
  <svg>
    <use xlink:href="#i-lock"></use>
  </svg>
</span>
</h3>
            <div class="form-date-of-birth row collapse">
              <div class="form-group-month large-2 columns">
                <label for="date_of_birth_1" class="sr-only">MM</label>
                <input type="number" name="date_of_birth_1" min="1" max="12" placeholder="MM" readonly />
              </div>
              <div class="form-group-day large-2 columns">
                <label for="date_of_birth_2" class="sr-only">DD</label>
                <input type="number" name="date_of_birth_2" min="1" max="31" placeholder="DD" readonly />
              </div>
              <div class="form-group-year large-2 columns end">
                <label for="date_of_birth_3" class="sr-only">YYYY</label>
                <input type="number" name="date_of_birth_3" min="1900" max="2016" placeholder="YYYY" readonly />
              </div>
            </div>
          </div>
        </div> -->

                <div class="button-pager">
                    <div class="button-pager_row primary">
                        <button class="button primary">Next</button>
                    </div>
                    <div class="button-pager_row ">
                        <button class="button button-link button-lined small-text-center expand-small">Save and finish later</button>
                    </div>
                </div>

            </form>
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            <p class="c-iron">The San Francisco Housing Portal is a project of the <br> <a href="#" class="a-white">Mayor's Office of Housing and Community Development</a></p>

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            <p class="t-small c-iron margin-top--2x">For listing and application questions, please contact the Leasing Agent displayed on the listing.<br> For general program inquiries, you may call MOHCD at 415-701-5560.</p>

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{{> @translate-bar }}
{{> @version-bar }}
{{> @top-bar }}

<section class="app-container">
  <div class="row collapse">
    <div class="medium-6 medium-centered columns fixed-width">

      <div class="app-language">
        {{> @lined-nav }}
      </div>

      {{ render '@app-header' }}

      <form class="app-card form-card">
        <div class="app-inner leader border-bottom">
          <h2 class="app-card_question">We’ll get started by getting some information about you. First, what’s your name?</h2>
        </div>

        <div class="app-inner inset">
          <div class="form-group">
            <h3 class="form-label caps">Your Name</h3>
            {{> @text-input--base placeholder="First Name" label="First Name"}}
            {{> @text-input--base placeholder="Middle Name (optional)" label="Middle Name (optional)"}}
            {{> @text-input--base placeholder="Last Name" label="Last Name"}}
          </div>

          <div class="form-group">
            <h3 class="form-label caps">Your Date of Birth</h3>
            {{> @input-dob}}
          </div>
        </div>

<!--         {{> @alert-box text="These fields are editable via your account settings" status="primary" classes="no-icon"}} -->

<!--         <div class="app-inner inset">
          <div class="form-group">
            <h3 class="form-label caps">Your Name {{> @icons-base icon="lock" fill="primary"}}</h3>
            {{> @text-input--base placeholder="First Name" label="First Name" readonly="readonly"}}
            {{> @text-input--base placeholder="Middle Name (optional)" label="Middle Name (optional)" readonly="readonly"}}
            {{> @text-input--base placeholder="Last Name" label="Last Name" readonly="readonly"}}
          </div>

          <div class="form-group">
            <h3 class="form-label caps">Your Date of Birth {{> @icons-base icon="lock" fill="primary"}}</h3>
            {{> @input-dob readonly="readonly"}}
          </div>
        </div> -->

        {{> @button-pager left="Next" l-classes="primary" right="Save and finish later" r-classes="button-link button-lined small-text-center expand-small"}}

      </form>
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</section>

{{> @footer}}
 
{
  "page-class": "center-body",
  "sections": [
    {
      "header": "You",
      "info-items": [
        {
          "name": "Name",
          "value": "Laura Smith"
        },
        {
          "name": "Date of Birth",
          "value": "12/02/1980"
        },
        {
          "name": "Phone",
          "value": "415-123-1234",
          "note": "Cell"
        },
        {
          "name": "Additional Phone",
          "value": "415-123-1234",
          "note": "Home"
        },
        {
          "name": "Email",
          "value": "lara.smith@gmail.com"
        },
        {
          "name": "Address",
          "value": "649 Avalon St <br> San Francisco, CA 94117"
        },
        {
          "name": "Mailing Address",
          "value": "456 Mission St <br> San Francisco, CA 94117"
        }
      ]
    },
    {
      "header": "Alternate Contact",
      "info-items": [
        {
          "name": "Name",
          "value": "Michael Smith",
          "note": "Counselor",
          "secondary": "MEDA"
        },
        {
          "name": "Email",
          "value": "michael.smith@gmail.com"
        },
        {
          "name": "Phone",
          "value": "415-876-5432"
        },
        {
          "name": "Mailing Address",
          "value": "456 Mission St <br> San Francisco, CA 94117"
        }
      ]
    },
    {
      "header": "Household Members",
      "info-items": [
        {
          "name": "Name",
          "value": "Michael Smith",
          "note": "Child"
        },
        {
          "name": "Date of Birth",
          "value": "12/2/1980"
        },
        {
          "divider": true
        },
        {
          "name": "Name",
          "value": "Michael Johnson",
          "note": "Family Member"
        },
        {
          "name": "Date of Birth",
          "value": "12/2/1970"
        },
        {
          "name": "Address",
          "value": "700 Avalon St <br> San Francisco, CA 94117"
        }
      ]
    },
    {
      "header": "Household Details",
      "info-items": [
        {
          "name": "Rent at 2106 Park Blvd",
          "value": "$1200 per month",
          "note": "for Michael Smith"
        },
        {
          "name": "Rent at 4106 Terrace St",
          "value": "$1200 per month",
          "note": "for Jane Smith and Denise Jones"
        },
        {
          "name": "Seniors in Household",
          "value": "Yes"
        },
        {
          "name": "Veterans in Household",
          "value": "Yes"
        },
        {
          "name": "People with Developmental Disabilities",
          "value": "Yes"
        },
        {
          "name": "ADA Accessible Units",
          "value": "Mobility Impairments<br> Visual Impairments"
        }
      ]
    },
    {
      "header": "Income",
      "info-items": [
        {
          "name": "Vouchers and Subsidies",
          "value": "Yes"
        },
        {
          "name": "Household Income",
          "value": "$32,000 per year"
        }
      ]
    },
    {
      "header": "Preferences",
      "info-items": [
        {
          "name": "You Have Claimed",
          "value": "Certificate of Preference",
          "note": "for Michael Smith"
        },
        {
          "name": "You Have Claimed",
          "value": "Neighborhood Resident Housing Preference",
          "note": "for Michael Smith",
          "secondary": "Telephone Bill attached"
        },
        {
          "name": "You Have Claimed",
          "value": "Rent Burden Preference",
          "note": "for 2106 Park Blvd",
          "secondary": "Copy of Lease and Cancelled Check attached",
          "note-2": "for 4106 Terrace St",
          "secondary-2": "Copy of Lease and Money order attached"
        }
      ]
    }
  ],
  "sections-general": [
    {
      "header": "You",
      "info-items": [
        {
          "name": "Name",
          "value": "Laura Smith"
        },
        {
          "name": "Date of Birth",
          "value": "12/02/1980"
        },
        {
          "name": "Phone",
          "value": "415-123-1234",
          "note": "Cell"
        },
        {
          "name": "Additional Phone",
          "value": "415-123-1234",
          "note": "Home"
        },
        {
          "name": "Email",
          "value": "lara.smith@gmail.com"
        },
        {
          "name": "Address",
          "value": "649 Avalon St <br> San Francisco, CA 94117"
        },
        {
          "name": "Mailing Address",
          "value": "456 Mission St <br> San Francisco, CA 94117"
        }
      ]
    },
    {
      "header": "Alternate Contact",
      "info-items": [
        {
          "name": "Name",
          "value": "Michael Smith",
          "note": "Counselor",
          "secondary": "MEDA"
        },
        {
          "name": "Email",
          "value": "michael.smith@gmail.com"
        },
        {
          "name": "Phone",
          "value": "415-876-5432"
        },
        {
          "name": "Mailing Address",
          "value": "456 Mission St <br> San Francisco, CA 94117"
        }
      ]
    },
    {
      "header": "Household Members",
      "info-items": [
        {
          "name": "Name",
          "value": "Michael Smith",
          "note": "Child"
        },
        {
          "name": "Date of Birth",
          "value": "12/2/1980"
        },
        {
          "divider": true
        },
        {
          "name": "Name",
          "value": "Michael Johnson",
          "note": "Family Member"
        },
        {
          "name": "Date of Birth",
          "value": "12/2/1970"
        },
        {
          "name": "Address",
          "value": "700 Avalon St <br> San Francisco, CA 94117"
        }
      ]
    },
    {
      "header": "Preferences",
      "info-items": [
        {
          "name": null,
          "value": "Based on the information you have entered, your household has not claimed any housing lottery preferences. you will be in the general lottery.",
          "is-sentence": "yes"
        }
      ]
    },
    {
      "header": "Income",
      "info-items": [
        {
          "name": "Vouchers and Subsidies",
          "value": "No"
        },
        {
          "name": "Household Income",
          "value": "$32,000 per year"
        }
      ]
    }
  ],
  "sections-preview": [
    {
      "header": "You",
      "info-items": [
        {
          "name": "Name",
          "value": "Laura Smith"
        },
        {
          "name": "Date of Birth",
          "value": "12/02/1980"
        },
        {
          "name": "Phone",
          "value": "415-123-1234",
          "note": "Cell"
        },
        {
          "name": "Additional Phone",
          "value": "415-123-1234",
          "note": "Home"
        },
        {
          "name": "Email",
          "value": "lara.smith@gmail.com"
        },
        {
          "name": "Address",
          "value": "649 Avalon St <br> San Francisco, CA 94117"
        },
        {
          "name": "Mailing Address",
          "value": "456 Mission St <br> San Francisco, CA 94117"
        }
      ]
    },
    {
      "header": "Alternate Contact",
      "info-items": [
        {
          "name": "Name",
          "value": "Michael Smith",
          "note": "Counselor",
          "secondary": "MEDA"
        },
        {
          "name": "Email",
          "value": "michael.smith@gmail.com"
        },
        {
          "name": "Phone",
          "value": "415-876-5432"
        },
        {
          "name": "Mailing Address",
          "value": "456 Mission St <br> San Francisco, CA 94117"
        }
      ]
    },
    {
      "header": "Household Members",
      "info-items": [
        {
          "name": "Name",
          "value": "Michael Smith",
          "note": "Child"
        },
        {
          "name": "Date of Birth",
          "value": "12/2/1980"
        },
        {
          "divider": true
        },
        {
          "name": "Name",
          "value": "Michael Johnson",
          "note": "Family Member"
        },
        {
          "name": "Date of Birth",
          "value": "12/2/1970"
        },
        {
          "name": "Address",
          "value": "700 Avalon St <br> San Francisco, CA 94117"
        }
      ]
    },
    {
      "header": "Household Details",
      "info-items": [
        {
          "name": "Seniors in Household",
          "value": "Yes"
        },
        {
          "name": "Veterans in Household",
          "value": "Yes"
        },
        {
          "name": "People with Developmental Disabilities",
          "value": "Yes"
        }
      ]
    }
  ]
}

There are no notes for this item.