@extends('layouts.default')
@section('content')

<!-- page content -->
<div class="right_col" role="main">
  	<div class="">
	    <div class="page-title">
	      	<div class="title_left">
	        	<h3>Create ACSJobs</h3>
	      	</div>
	    </div>
    	<div class="clearfix"></div>
	    <div class="row">
	      	<div class="col-md-12 col-sm-12 col-xs-12">
	      		{{ Userdefined::showMessage() }}
		        <div class="x_panel">
		          	<div class="x_content">
			            <form id="create_employee_form" class="form-horizontal form-label-left" method="post" action="{{ url('acsjobs') }}" data-toggle="validator" role="form" autocomplete="off">
			              	<div class="row">
			              		<div class="row">
				              		<div class="col-md-4 col-sm-4 col-xs-12 form-group has-feedback">
					                  	<label class="control-label col-md-5 col-sm-5 col-xs-12">Name<i class="mandatory">*</i></label>
					                  	<div class="col-md-7 col-sm-7 col-xs-12">
					                    	<input type="text" id="name" name="name" class="form-control" required maxlength="50">
					                    	<div class="help-block with-errors"></div>
					                  	</div>
					                </div>
					                <div class="col-md-4 col-sm-4 col-xs-12 form-group has-feedback">
					                  	<label class="control-label col-md-5 col-sm-5 col-xs-12">Email<i class="mandatory">*</i></label>
					                  	<div class="col-md-7 col-sm-7 col-xs-12">
					                    	<input type="email" id="email" name="email" class="form-control" pattern="[a-z0-9._-]+@[a-z0-9.-]+\.[a-z.]{2,}$" data-pattern-error="Also, include a TLD. (Example: .com, .co.in, .co.us ...)" required maxlength="50">
					                    	<div class="help-block with-errors"></div>
					                  	</div>
					                </div>
					                <div class="col-md-4 col-sm-4 col-xs-12 form-group has-feedback">
					                  	<label class="control-label col-md-5 col-sm-5 col-xs-12">Mobile<i class="mandatory">*</i></label>
					                  	<div class="col-md-7 col-sm-7 col-xs-12">
					                    	<input type="text" id="mobile" name="mobile" class="form-control" data-inputmask="'mask' : '(999) 999-9999'" pattern="^[\+]?[(]?[0-9]{3}[)]?[-\s\.]?[0-9]{3}[-\s\.]?[0-9]{4,6}$" data-pattern-error="Valid Mobile Number Format. Example:(011) 123-4567" required maxlength="14">
					                    	<div class="help-block with-errors"></div>
					                  	</div>
					                </div>
				                </div>
				                <div class="row">
					                <div class="col-md-4 col-sm-4 col-xs-12 form-group has-feedback">
					                  	<label class="control-label col-md-5 col-sm-5 col-xs-12">Country<i class="mandatory">*</i></label>
					                  	<div class="col-md-7 col-sm-7 col-xs-12">
					                    	<select id="country" name="country" class="form-control" required>
					                    		<option value="">Select Country</option>
					                    		@foreach($countries as $country)
					                    		<option value="{{ $country->id }}">{{ $country->name }}</option>
					                    		@endforeach
					                    	</select>
					                    	<div class="help-block with-errors"></div>
					                  	</div>
					                </div>
					                <div class="col-md-4 col-sm-4 col-xs-12 form-group">
					                  	<label class="control-label col-md-5 col-sm-5 col-xs-12">State</label>
					                  	<div class="col-md-7 col-sm-7 col-xs-12">
					                    	<select id="state" name="state" class="form-control">
					                    		<option value="">Select State</option>
					                    	</select>
					                  	</div>
					                </div>
					                <div class="col-md-4 col-sm-4 col-xs-12 form-group">
					                  	<label class="control-label col-md-5 col-sm-5 col-xs-12">City</label>
					                  	<div class="col-md-7 col-sm-7 col-xs-12">
					                    	<select id="city" name="city" class="form-control">city
					                    		<option value="">Select City</option>
					                    	</select>
					                  	</div>
					                </div>
				                </div>
				                <div class="row">
					                <div class="col-md-4 col-sm-4 col-xs-12 form-group">
					                  	<label class="control-label col-md-5 col-sm-5 col-xs-12">Address</label>
					                  	<div class="col-md-7 col-sm-7 col-xs-12">
					                    	<textarea id="address" name="address" class="form-control"></textarea>
					                  	</div>
					                </div>
					                @if(!Entrust::hasRole('opt_recruiter_tl') && !Entrust::hasRole('bench_sales_tl'))
					                <div class="col-md-4 col-sm-4 col-xs-12 form-group has-feedback">
					                  	<label class="control-label col-md-5 col-sm-5 col-xs-12">Role<i class="mandatory">*</i></label>
					                  	<div class="col-md-7 col-sm-7 col-xs-12">
					                    	<select id="role" name="role" class="form-control" required>
					                    		<option value="">Select Role</option>
					                    		@foreach($roles as $role)
					                    		<option value="{{ $role->id }}">{{ $role->display_name }}</option>
					                    		@endforeach
					                    	</select>
					                    	<div class="help-block with-errors"></div>
					                  	</div>
					                </div>
					                @endif
					                <div class="col-md-4 col-sm-4 col-xs-12 form-group">
					                  	<label class="control-label col-md-5 col-sm-5 col-xs-12">Status</label>
					                  	<div class="col-md-7 col-sm-7 col-xs-12">
					                    	<select id="status" name="status" class="form-control">
					                    		<option value="">Select Status</option>
					                    		<option value="1">Active</option>
					                    		<option value="0">IN Active</option>
					                    	</select>
					                  	</div>
					                </div>
			              		</div>
			              	</div>
			              	<div class="ln_solid"></div>
			              	<div class="form-group">
				                <div class="col-md-12 col-sm-12 col-xs-12 text-right">
				                  	<button class="btn btn-primary btn-sm" type="reset">Reset</button>
				                  	<button type="submit" class="btn btn-success btn-sm" name="create_acsjobs" value="1">Submit</button>
				                </div>
			              	</div>
			              	{{ csrf_field() }}
			            </form>
		          	</div>
		        </div>
	      	</div>
	    </div>
  	</div>
</div>
<!-- /page content -->
<script type="text/javascript">
$(document).ready(function(){
	$("#country").change(function(){
		var country = $("#country").val();

		$("#state").empty();
		$("#city").empty();
		$.ajax({
			url: '