corp_html/templates/Careers-ApplicationForm.tpl

<table width="90%" border="0" cellspacing="3" cellpadding="0" align="center">
  <tr> 
    <td colspan="2"> 
      <div align="center"><img src="t/application_form.gif" width="269" height="16"></div>
    </td>
  </tr>
  <tr> 
    <td colspan="2"> 
      <div align="center"> 
        <p align="left">To 
          apply for a position with PLIVA, please follow the instructions below:</p>
      </div>
      <ol>
        <li>Complete 
          the contact information fields.</li>
        <li>Select 
          a job position/location.</li>
        <li>Enter 
          your cover letter with your recent salary history in the comments 
          section.</li>
        <li>Attach 
          your résumé (preferably in MS Word or PDF format).</li>
        <li>Click 
          Submit.</li>
        <li>All 
          fields in <b>bold</b> are required</li>
      </ol>
    </td>
  </tr>
  <tr> 
    <td colspan="2">&nbsp; </td>
  </tr>
</table>
<form method="post" action="">
  <table width="90%" border="0" cellspacing="3" cellpadding="0" align="center">
    <tr> 
      <td width="26%"><b>First 
        Name</b>: </td>
      <td>  
        <input type="text" name="textfield">
        </td>
    </tr>
    <tr> 
      <td width="26%"> <b>Last 
        Name: </b></td>
      <td>  
        <input type="text" name="textfield2">
        </td>
    </tr>
    <tr> 
      <td width="26%"><b>Address 
        Line 1: </b></td>
      <td>  
        <input type="text" name="textfield3">
        </td>
    </tr>
    <tr> 
      <td width="26%"><b>Address 
        Line 2:</b></td>
      <td>  
        <input type="text" name="textfield4">
        </td>
    </tr>
    <tr> 
      <td width="26%"><b>City:</b></td>
      <td>  
        <input type="text" name="textfield5">
        </td>
    </tr>
    <tr> 
      <td width="26%"><b>State/Province:</b></td>
      <td>  
        <input type="text" name="textfield6">
        </td>
    </tr>
    <tr> 
      <td width="26%"><b>ZIP/Postal 
        Code: </b></td>
      <td>  
        <input type="text" name="textfield7">
        </td>
    </tr>
    <tr> 
      <td width="26%"><b>Country: 
        </b></td>
      <td>  
        <select name="country" size="1">
          <option value="" selected>-- Select Your Country --</option>
          {section name=c loop=$countries}
          <option value="{$c/countries.iso}">{$c/countries.name}</option>
          {/section}
        </select>
        </td>
    </tr>
    <tr> 
      <td width="26%" height="22"><b>Email 
        Address: </b> </td>
      <td height="22">  
        <input type="text" name="textfield8">
        </td>
    </tr>
    <tr> 
      <td width="26%"><b>Telephone:</b> 
        </td>
      <td>  
        <input type="text" name="textfield9">
        </td>
    </tr>
  </table>
  <table width="90%" border="0" cellspacing="3" cellpadding="0" align="center">
    <tr> 
      <td height="5" width="26%"> 
        <p>&nbsp;</p>
      </td>
      <td width="74%" height="2">&nbsp;</td>
    </tr>
    <tr> 
      <td colspan="2" valign="top" height="117"> 
        <p align="left"><b>Purpose 
          of application: </b></p>
        <p align="left">  
          <input type="radio" name="radiobutton" value="radiobutton">
          Interested in scholarship.</p>
        <p align="left">  
          <input type="radio" name="radiobutton" value="radiobutton">
          Interested in current open position.</p>
        <p align="left">  
          <input type="radio" name="radiobutton" value="radiobutton">
          Interested in joining PLIVA .</p>
      </td>
    </tr>
    <tr> 
      <td width="26%" valign="top" height="7"> 
        <p>&nbsp;</p>
      </td>
      <td width="74%" valign="top" height="7">&nbsp;</td>
    </tr>
    <tr> 
      <td colspan="2" valign="top" height="31"> 
        <p><b>Interest 
          in PLIVA via:</b></p>
        <p>  
          <input type="radio" name="radiobutton" value="radiobutton">
          Website</p>
        <p>  
          <input type="radio" name="radiobutton" value="radiobutton">
          Newspapers</p>
        <p>  
          <input type="radio" name="radiobutton" value="radiobutton">
          Television</p>
        <p>  
          <input type="radio" name="radiobutton" value="radiobutton">
          Company presentation</p>
        <p>  
          <input type="radio" name="radiobutton" value="radiobutton">
          PLIVA product</p>
        <p>  
          <input type="radio" name="radiobutton" value="radiobutton">
          Friend</p>
        <p>  
          <input type="radio" name="radiobutton" value="radiobutton">
          Other: 
          <input type="text" name="textfield10">
          </p>
      </td>
    </tr>
    <tr> 
      <td colspan="2" valign="top" height="31">&nbsp;</td>
    </tr>
    <tr> 
      <td width="26%" valign="top" height="31"> 
        <div align="left"><b>Comments:</b> 
          <textarea name="textfield11"></textarea>
        </div>
      </td>
      <td width="74%" valign="top" height="31">&nbsp; </td>
    </tr>
    <tr> 
      <td colspan="2" valign="top" height="31">&nbsp; </td>
    </tr>
    <tr> 
      <td colspan="2" valign="top" height="31"><b>Attach 
        Résumé:</b> 
        <input type="file" name="file">
        <input type="submit" name="Submit" value="Submit File">
      </td>
    </tr>
    <tr>
      <td colspan="2" valign="top" height="31"> 
        <div align="center">
          <input type="submit" name="Submit2" value="Submit">
        </div>
      </td>
    </tr>
  </table>
  <p>&nbsp;</p>
</form>
1	dpavlin	1.1	<table width="90%" border="0" cellspacing="3" cellpadding="0" align="center">
2			<tr>
3			<td colspan="2">
4			<div align="center"><img src="t/application_form.gif" width="269" height="16"></div>
5			</td>
6			</tr>
7			<tr>
8			<td colspan="2">
9			<div align="center">
10			<p align="left">To
11			apply for a position with PLIVA, please follow the instructions below:</p>
12			</div>
13			<ol>
14			<li>Complete
15			the contact information fields.</li>
16			<li>Select
17			a job position/location.</li>
18			<li>Enter
19			your cover letter with your recent salary history in the comments
20			section.</li>
21			<li>Attach
22			your résumé (preferably in MS Word or PDF format).</li>
23			<li>Click
24			Submit.</li>
25			<li>All
26			fields in <b>bold</b> are required</li>
27			</ol>
28			</td>
29			</tr>
30			<tr>
31			<td colspan="2">  </td>
32			</tr>
33			</table>
34			<form method="post" action="">
35			<table width="90%" border="0" cellspacing="3" cellpadding="0" align="center">
36			<tr>
37			<td width="26%"><b>First
38			Name</b>: </td>
39			<td>
40			<input type="text" name="textfield">
41			</td>
42			</tr>
43			<tr>
44			<td width="26%"> <b>Last
45			Name: </b></td>
46			<td>
47			<input type="text" name="textfield2">
48			</td>
49			</tr>
50			<tr>
51			<td width="26%"><b>Address
52			Line 1: </b></td>
53			<td>
54			<input type="text" name="textfield3">
55			</td>
56			</tr>
57			<tr>
58			<td width="26%"><b>Address
59			Line 2:</b></td>
60			<td>
61			<input type="text" name="textfield4">
62			</td>
63			</tr>
64			<tr>
65			<td width="26%"><b>City:</b></td>
66			<td>
67			<input type="text" name="textfield5">
68			</td>
69			</tr>
70			<tr>
71			<td width="26%"><b>State/Province:</b></td>
72			<td>
73			<input type="text" name="textfield6">
74			</td>
75			</tr>
76			<tr>
77			<td width="26%"><b>ZIP/Postal
78			Code: </b></td>
79			<td>
80			<input type="text" name="textfield7">
81			</td>
82			</tr>
83			<tr>
84			<td width="26%"><b>Country:
85			</b></td>
86			<td>
87			<select name="country" size="1">
88			<option value="" selected>-- Select Your Country --</option>
89			{section name=c loop=$countries}
90			<option value="{$c/countries.iso}">{$c/countries.name}</option>
91			{/section}
92			</select>
93			</td>
94			</tr>
95			<tr>
96			<td width="26%" height="22"><b>Email
97			Address: </b> </td>
98			<td height="22">
99			<input type="text" name="textfield8">
100			</td>
101			</tr>
102			<tr>
103			<td width="26%"><b>Telephone:</b>
104			</td>
105			<td>
106			<input type="text" name="textfield9">
107			</td>
108			</tr>
109			</table>
110			<table width="90%" border="0" cellspacing="3" cellpadding="0" align="center">
111			<tr>
112			<td height="5" width="26%">
113			<p> </p>
114			</td>
115			<td width="74%" height="2"> </td>
116			</tr>
117			<tr>
118			<td colspan="2" valign="top" height="117">
119			<p align="left"><b>Purpose
120			of application: </b></p>
121			<p align="left">
122			<input type="radio" name="radiobutton" value="radiobutton">
123			Interested in scholarship.</p>
124			<p align="left">
125			<input type="radio" name="radiobutton" value="radiobutton">
126			Interested in current open position.</p>
127			<p align="left">
128			<input type="radio" name="radiobutton" value="radiobutton">
129			Interested in joining PLIVA .</p>
130			</td>
131			</tr>
132			<tr>
133			<td width="26%" valign="top" height="7">
134			<p> </p>
135			</td>
136			<td width="74%" valign="top" height="7"> </td>
137			</tr>
138			<tr>
139			<td colspan="2" valign="top" height="31">
140			<p><b>Interest
141			in PLIVA via:</b></p>
142			<p>
143			<input type="radio" name="radiobutton" value="radiobutton">
144			Website</p>
145			<p>
146			<input type="radio" name="radiobutton" value="radiobutton">
147			Newspapers</p>
148			<p>
149			<input type="radio" name="radiobutton" value="radiobutton">
150			Television</p>
151			<p>
152			<input type="radio" name="radiobutton" value="radiobutton">
153			Company presentation</p>
154			<p>
155			<input type="radio" name="radiobutton" value="radiobutton">
156			PLIVA product</p>
157			<p>
158			<input type="radio" name="radiobutton" value="radiobutton">
159			Friend</p>
160			<p>
161			<input type="radio" name="radiobutton" value="radiobutton">
162			Other:
163			<input type="text" name="textfield10">
164			</p>
165			</td>
166			</tr>
167			<tr>
168			<td colspan="2" valign="top" height="31"> </td>
169			</tr>
170			<tr>
171			<td width="26%" valign="top" height="31">
172			<div align="left"><b>Comments:</b>
173			<textarea name="textfield11"></textarea>
174			</div>
175			</td>
176			<td width="74%" valign="top" height="31">  </td>
177			</tr>
178			<tr>
179			<td colspan="2" valign="top" height="31">  </td>
180			</tr>
181			<tr>
182			<td colspan="2" valign="top" height="31"><b>Attach
183			Résumé:</b>
184			<input type="file" name="file">
185			<input type="submit" name="Submit" value="Submit File">
186			</td>
187			</tr>
188			<tr>
189			<td colspan="2" valign="top" height="31">
190			<div align="center">
191			<input type="submit" name="Submit2" value="Submit">
192			</div>
193			</td>
194			</tr>
195			</table>
196			<p> </p>
197			</form>