<div style="float: right; font-size: 9pt; font-family: monospace; line-height: 105%;">
	Form ID: <?php echo $info['form']->id; ?>
</div>

<div style="color: #1c43a6; font-size: 13pt; margin: 0.25em 0 0.5em 0; padding-bottom: 2px; border-bottom: 1px solid #1c43a6; width: 518px; text-overflow: ellipsis; white-space: nowrap; overflow: hidden; display: block; font-weight: bold;"><?php echo $info['ap']->name; ?></div>

<div style="float: right; font-size: 11pt; color: #7d7b7d;"><?php echo $info['qualify']; ?> Qualifier</div>

<div style="color: #990000; font-size: 11pt; margin: 0; font-weight: bold;"><?php echo ucwords(str_replace('-', ' ', str_replace('concert', '', $info['form']->category))); ?></div>

<br />

<div style="float: right; font-size: 10pt; width: 250px;">
	<b>Current Form Status</b><br />

	<?php if (Helpers::strEqual($info['status'], 'complete')): ?>
		<img src="<?php echo asset('/images/icons/finished_16px.png'); ?>" alt="" title="" style="position: relative; top: 2px; margin-right: 4px;" />
	<?php elseif ($info['data']->items->form): ?>
		<img src="<?php echo asset('/images/icons/pending_16px.png'); ?>" alt="" title="" style="position: relative; top: 2px; margin-right: 4px;" />
	<?php else: ?>
		<img src="<?php echo asset('/images/icons/never_started_16px.png'); ?>" alt="" title="" style="position: relative; top: 2px; margin-right: 4px;" />
	<?php endif; ?>

	<?php echo $info['status']; ?><br />

	<?php if ($info['selected']): ?>
		<img src="<?php echo asset('/images/icons/finished_16px.png'); ?>" alt="" title="" style="position: relative; top: 2px; margin-right: 4px;" />
		Selected for State
	<?php else: ?>	
		<img src="<?php echo asset('/images/icons/not_selected_16px.png'); ?>" alt="" title="" style="position: relative; top: 2px; margin-right: 4px;" />
		NOT SELECTED FOR STATE
	<?php endif; ?>

	<br /><br />

	<b>School Contact Information</b><br />

	<?php echo $info['data']->submitter->name; ?><br />
	<?php if (!is_null($info['data']->submitter->role) and !Helpers::strIsEmpty($info['data']->submitter->role)): ?>
		<span style="font-size: 8pt; line-height: 1em;">(<?php echo $info['data']->submitter->role; ?>)</span><br />
	<?php endif; ?>

	<?php echo Helpers::displayCombinedPhone($info['data']->submitter->phone); ?>

	<br />

	<a href="mailto: <?php echo $info['data']->submitter->email; ?>"><?php echo $info['data']->submitter->email; ?></a>



</div>

<div style="font-size: 10pt;">

	<?php echo Form::open(array('url'    => url('/forms/edit-music-form/'),
					    'method' => 'post')); ?>

		<?php echo Form::hidden('form_id', $info['form']->id); ?>

		<?php echo Form::label('form', 'Completed Online Form', array('style' => 'margin-left: 5px; font-weight: bold; color: #7d7b7d;')); ?>
		<?php echo Form::checkbox('form', true, $info['data']->items->form, array('style' => 'float: left; position: relative; top: 2px;', 'disabled' => 'true')); ?>

		<br />

		<?php echo Form::label('selection', 'Indicated Required Selection', array('style' => 'margin-left: 5px; font-weight: bold; color: #7d7b7d;')); ?>
		<?php echo Form::checkbox('selection', true, $info['data']->items->selection, array('style' => 'float: left; position: relative; top: 2px;', 'disabled' => 'true')); ?>

		<br />

		<?php echo Form::label('roster', 'Received Roster', array('style' => 'margin-left: 5px; font-weight: bold;')); ?>
		<?php echo Form::checkbox('roster', true, $info['data']->items->roster, array('style' => 'float: left; position: relative; top: 2px;')); ?>

		<br />

		<?php echo Form::label('scores', 'Received Score Sheets', array('style' => 'margin-left: 5px; font-weight: bold;')); ?>
		<?php echo Form::checkbox('scores', true, $info['data']->items->scores, array('style' => 'float: left; position: relative; top: 2px;')); ?>

		<br />

		<?php if (Helpers::strEqual($info['qualify'], 'automatic')): ?>

			<?php echo Form::label('tape', 'Received Tape/CD/DVD', array('style' => 'margin-left: 5px; font-weight: bold; color: #7d7b7d;')); ?>
			<?php echo Form::checkbox('tape', true, $info['data']->items->tape, array('style' => 'float: left; position: relative; top: 2px;', 'disabled' => 'true')); ?>
			<br />
			<span style="font-size: 8pt;"><i>(Not required for automatic qualifiers)</i></span>

		<?php else: ?>

			<?php echo Form::label('tape', 'Received Tape/CD/DVD', array('style' => 'margin-left: 5px; font-weight: bold;')); ?>
			<?php echo Form::checkbox('tape', true, $info['data']->items->tape, array('style' => 'float: left; position: relative; top: 2px;')); ?>
			<br />
			<?php if (!Helpers::strEqual($info['form']->category, 'concert-choir')): ?>				
				<span style="font-size: 8pt;"><i>(Including requried sheet music)</i></span>
			<?php endif; ?>
	
		<?php endif; ?>

		<br /><br />

		<?php echo Form::label('email', 'Send e-mail confirmation on save', array('style' => 'margin-left: 5px;')); ?>
		<?php echo Form::checkbox('email', true, true, array('style' => 'float: left; position: relative; top: 2px;')); ?>
		
	<?php echo Form::close(); ?>
</div>