=== NSHD Data Access Request Form ===

<form>
action template dsaform nshd:dsapps :
thanks "Thank you for submitting your information.  Please email this to: "

fieldset "Section 1 - Public Information"
textbox  "Principal Applicant's Name" @
textbox  "Position" 
textbox  "Institution"
email    "Email address"
textbox  "Co-applicant's Name" !
textbox  "Position" !
textbox  "Institution" !
email    "Email address" !
textarea "Further co-applicants" !

fieldset "Section 2 - Public Information"
textarea "Title of Project" !
date     "Project Start Date" @ !
date     "Project End Date" !

fieldset "Section 3 - Confidential Information"
yesno    "Will/has the project be(en) peer reviewed and funded?" "=1" "!0" !
textbox  "Funding Organisation" !
textarea "Brief description of the project including proposed output" !

fieldset "Section 4 - Public Information"
textarea "Public summary of this project" !

submit   "Submit Form"

</form>