Draft of the Lead Safe application form#15
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Unfortunately, this template does not have nice-looking stylings for buttons or forms. The CSS is rather complicated so it is not easy to adjust the underlying styling. For this, I've used inline styling to get forms to look decent. Inline styling was also done for the button.
I've restyled the dropdown box of health networks to appear closer to the design of the website. It's not strictly a material design, but is close enough. It would be nice to change the dropdown arrow, but that can be solved later.
* Changed name from 'signup' to 'apply' for consistency * Added introductory paragraph with explanation * Added maximum length to Illinois Physician License * Switched contact email to HealthyHomes
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Here is the current screenshot of the application:
Here is how the submission will appear over email:
Remaining items:
select input).