id="email" name="email" placeholder="example@canonical.com" autocomplete="email"/>
          <label for="textarea">Reason you wish to withdraw your application</label>
          <select name="withdrawal-reason" id="withdrawal-reason" onchange="showInput()" required>
              <option value="" disabled="disabled" selected="">Select</option>
            {% for reason_id, reason_message in withdrawal_reasons.items() %}
              <option value="{{ reason_id }}">{{ reason_message }}</option>
            