odd_job/app/admin/view/comjobs/comjobsreport.html

<div class="layui-fluid">
    <div class="layui-row layui-col-space15">
        <div class="layui-col-md12">
            <div class="layui-card">
                <div class="layui-card-header">代报名</div>
                <div class="layui-card-body" pad15>
                    <div class="layui-form layui-form-pane" lay-filter="LAY-broker-brokerform-edit">
                        <div class="layui-form-item">
                            <label class="layui-form-label">岗位信息</label>
                            <div class="layui-input-block">
                                <input type="text"
                                       value="{$comjobs.worker.title} - {$comjobs.title}"
                                       class="layui-input" readonly>
                            </div>
                        </div>
                        <div class="layui-form-item">
                            <label class="layui-form-label"><span style="color:#f90c05;">*</span>姓名</label>
                            <div class="layui-input-block">
                                <input type="text" name="realname" placeholder="请输入姓名" autocomplete="off" lay-verify="required"
                                       class="layui-input">
                            </div>
                        </div>
                        <div class="layui-form-item">
                            <label class="layui-form-label"><span style="color:#f90c05;">*</span>手机号</label>
                            <div class="layui-input-block">
                                <input type="text" name="mobile" placeholder="请输入手机号" lay-verify="required|phone" autocomplete="off"
                                       class="layui-input">
                            </div>
                        </div>
                        <div class="layui-form-item">
                            <label class="layui-form-label"><span style="color:#f90c05;">*</span>身份证号</label>
                            <div class="layui-input-block">
                                <input type="text" name="idcard" placeholder="请输入身份证号" lay-verify="required|identity" autocomplete="off" class="layui-input">
                            </div>
                        </div>
                        <div class="layui-form-item">
                            <label class="layui-form-label"><span style="color:#f90c05;">*</span>预计到达时间</label>
                            <div class="layui-input-block">
                                <input type="text" name="arrivetime" id="arrivetime" lay-verify="required" placeholder="请选择..."
                                       autocomplete="off" class="layui-input">
                            </div>
                        </div>
                        <div class="layui-form-item">
                            <label class="layui-form-label">备注信息</label>
                            <div class="layui-input-block">
                                <textarea name="remark" placeholder="请输入..." class="layui-textarea"></textarea>
                            </div>
                        </div>
                        <div class="layui-form-item">
                            <div class="layui-input-block">
                                <input type="button" lay-submit lay-filter="LAY-broker-brokerform-edit-submit"
                                       value="确认提交" class="layui-btn">
                            </div>
                        </div>
                    </div>
                </div>
            </div>
        </div>
    </div>
</div>

<script>

    layui.config({
        base: '/static/echoui/' //静态资源所在路径
    }).extend({
        index: 'lib/index' //主入口模块
    }).use(['index', 'form', 'set', 'laydate'], function () {
        var $ = layui.$,
            setter = layui.setter,
            admin = layui.admin,
            laydate = layui.laydate,
            form = layui.form;
        form.render();

        laydate.render({
            elem: '#arrivetime',
            type: 'date',
            format: 'yyyy-MM-dd'
        });

        form.on('submit(LAY-broker-brokerform-edit-submit)', function (obj) {
            var index = parent.layer.getFrameIndex(window.name);
            admin.req({
                url: setter.baseAdminUrl + 'comjobs/submitreport',
                data: obj.field,
                done: function (res) {
                    layer.msg("提交成功", {
                        icon: 1
                    });
                    parent.layer.close(index);
                }
            });
        });
    });
</script>