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>
</table>

<form method="post" action="careers.php?part=Mail" ENCTYPE="multipart/form-data"
>
  <table width="90%" border="0" cellspacing="3" cellpadding="0" align="center">
    <tr> 
      <td><b>First Name</b>: </td>
      <td>  
        <input type="text" name="first_name" size="30">
        </td>
    </tr>
    <tr> 
      <td> <b>Last Name: </b></td>
      <td>  
        <input type="text" name="last_name" size="30">
        </td>
    </tr>
    <tr> 
      <td><b>Address Line 1: </b></td>
      <td>  
        <input type="text" name="address1" size="30">
        </td>
    </tr>
    <tr> 
      <td><b>Address Line 2:</b></td>
      <td>  
        <input type="text" name="address2" size="30">
        </td>
    </tr>
    <tr> 
      <td><b>City:</b></td>
      <td>  
        <input type="text" name="city" size="30">
        </td>
    </tr>
    <tr> 
      <td><b>State/Province:</b></td>
      <td>  
        <input type="text" name="state" size="30">
        </td>
    </tr>
    <tr> 
      <td><b>ZIP/Postal Code: </b></td>
      <td>  
        <input type="text" name="zip" size="30">
        </td>
    </tr>
    <tr> 
      <td><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><b>Email Address: </b> </td>
      <td>  
        <input type="text" name="email" size="30">
        </td>
    </tr>
    <tr> 
      <td><b>Telephone:</b> 
        </td>
      <td>  
        <input type="text" name="tel" size="30">
        </td>
    </tr>
    <tr> 
      <td colspan="2" valign="top"> 
        <p align="left"><b>Purpose of application:</b>
        <br>
          <input type="radio" name="purpose" value="scholarship">
          Interested in scholarship.
        <br>
          <input type="radio" name="purpose" value="open position">
          Interested in current open position.
        <br>
          <input type="radio" name="purpose" value="joining PLIVA">
          Interested in joining PLIVA.
        </p>
      </td>
    </tr>
    <tr> 
      <td colspan="2" valign="top">
        <p><b>Interest in PLIVA via:</b>
        <br><input type="radio" name="interest" value="Website">
          Website
        <br><input type="radio" name="interest" value="Newspapers">
          Newspapers
        <br><input type="radio" name="interest" value="Television">
          Television
        <br><input type="radio" name="interest" value="Company presentation">
          Company presentation
        <br><input type="radio" name="interest" value="PLIVA product">
          PLIVA product
        <br><input type="radio" name="interest" value="Friend">
          Friend
        <br><input type="radio" name="interest" value="Other">
          Other: <input type="text" name="other_what">
        </p>
      </td>
    </tr>
    <tr> 
      <td colspan="2" valign="top"> 
        <div align="left"><b>Comments:</b>
          <br>
          <textarea name="comments" rows=5 cols=55></textarea>
        </div>
      </td>
    </tr>
    <tr> 
      <td colspan="2" valign="top" align="center"><b>Attach Résumé:</b> 
        <INPUT TYPE="hidden" name="MAX_FILE_SIZE" value="4000000">
        <input type="file" name="resume" size=30>
        <br><div class="silver">Maximum size of résumé is 4000000 bytes!</div>
      </td>
    </tr>
    <tr>
      <td colspan="2" valign="top">
        <div align="center">
          <input type="submit" name="Submit" value="Send application form">
        </div>
      </td>
    </tr>
  </table>
</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	dpavlin	1.2	<p align="left">To apply for a position with PLIVA,
11			please follow the instructions below:</p>
12	dpavlin	1.1	</div>
13			<ol>
14			<li>Complete
15			the contact information fields.</li>
16			<li>Select
17			a job position/location.</li>
18	dpavlin	1.2	<li>Enter your cover letter with your recent salary history in the
19			"comments" section.</li>
20			<li>Attach your résumé (preferably in MS Word or PDF format).</li>
21			<li>Click Submit.</li>
22			<li>All fields in <b>bold</b> are required</li>
23	dpavlin	1.1	</ol>
24			</td>
25			</tr>
26			</table>
27	dpavlin	1.2
28			<form method="post" action="careers.php?part=Mail" ENCTYPE="multipart/form-data"
29			>
30	dpavlin	1.1	<table width="90%" border="0" cellspacing="3" cellpadding="0" align="center">
31			<tr>
32	dpavlin	1.2	<td><b>First Name</b>: </td>
33	dpavlin	1.1	<td>
34	dpavlin	1.2	<input type="text" name="first_name" size="30">
35	dpavlin	1.1	</td>
36			</tr>
37			<tr>
38	dpavlin	1.2	<td> <b>Last Name: </b></td>
39	dpavlin	1.1	<td>
40	dpavlin	1.2	<input type="text" name="last_name" size="30">
41	dpavlin	1.1	</td>
42			</tr>
43			<tr>
44	dpavlin	1.2	<td><b>Address Line 1: </b></td>
45	dpavlin	1.1	<td>
46	dpavlin	1.2	<input type="text" name="address1" size="30">
47	dpavlin	1.1	</td>
48			</tr>
49			<tr>
50	dpavlin	1.2	<td><b>Address Line 2:</b></td>
51	dpavlin	1.1	<td>
52	dpavlin	1.2	<input type="text" name="address2" size="30">
53	dpavlin	1.1	</td>
54			</tr>
55			<tr>
56	dpavlin	1.2	<td><b>City:</b></td>
57	dpavlin	1.1	<td>
58	dpavlin	1.2	<input type="text" name="city" size="30">
59	dpavlin	1.1	</td>
60			</tr>
61			<tr>
62	dpavlin	1.2	<td><b>State/Province:</b></td>
63	dpavlin	1.1	<td>
64	dpavlin	1.2	<input type="text" name="state" size="30">
65	dpavlin	1.1	</td>
66			</tr>
67			<tr>
68	dpavlin	1.2	<td><b>ZIP/Postal Code: </b></td>
69	dpavlin	1.1	<td>
70	dpavlin	1.2	<input type="text" name="zip" size="30">
71	dpavlin	1.1	</td>
72			</tr>
73			<tr>
74	dpavlin	1.2	<td><b>Country: </b></td>
75	dpavlin	1.1	<td>
76			<select name="country" size="1">
77			<option value="" selected>-- Select Your Country --</option>
78			{section name=c loop=$countries}
79			<option value="{$c/countries.iso}">{$c/countries.name}</option>
80			{/section}
81			</select>
82			</td>
83			</tr>
84			<tr>
85	dpavlin	1.2	<td><b>Email Address: </b> </td>
86			<td>
87			<input type="text" name="email" size="30">
88	dpavlin	1.1	</td>
89			</tr>
90			<tr>
91	dpavlin	1.2	<td><b>Telephone:</b>
92	dpavlin	1.1	</td>
93			<td>
94	dpavlin	1.2	<input type="text" name="tel" size="30">
95	dpavlin	1.1	</td>
96			</tr>
97			<tr>
98	dpavlin	1.2	<td colspan="2" valign="top">
99			<p align="left"><b>Purpose of application:</b>
100			<br>
101			<input type="radio" name="purpose" value="scholarship">
102			Interested in scholarship.
103			<br>
104			<input type="radio" name="purpose" value="open position">
105			Interested in current open position.
106			<br>
107			<input type="radio" name="purpose" value="joining PLIVA">
108			Interested in joining PLIVA.
109			</p>
110	dpavlin	1.1	</td>
111			</tr>
112			<tr>
113	dpavlin	1.2	<td colspan="2" valign="top">
114			<p><b>Interest in PLIVA via:</b>
115			<br><input type="radio" name="interest" value="Website">
116			Website
117			<br><input type="radio" name="interest" value="Newspapers">
118			Newspapers
119			<br><input type="radio" name="interest" value="Television">
120			Television
121			<br><input type="radio" name="interest" value="Company presentation">
122			Company presentation
123			<br><input type="radio" name="interest" value="PLIVA product">
124			PLIVA product
125			<br><input type="radio" name="interest" value="Friend">
126			Friend
127			<br><input type="radio" name="interest" value="Other">
128			Other: <input type="text" name="other_what">
129			</p>
130	dpavlin	1.1	</td>
131			</tr>
132			<tr>
133	dpavlin	1.2	<td colspan="2" valign="top">
134			<div align="left"><b>Comments:</b>
135			<br>
136			<textarea name="comments" rows=5 cols=55></textarea>
137	dpavlin	1.1	</div>
138			</td>
139			</tr>
140			<tr>
141	dpavlin	1.2	<td colspan="2" valign="top" align="center"><b>Attach Résumé:</b>
142			<INPUT TYPE="hidden" name="MAX_FILE_SIZE" value="4000000">
143			<input type="file" name="resume" size=30>
144			<br><div class="silver">Maximum size of résumé is 4000000 bytes!</div>
145	dpavlin	1.1	</td>
146			</tr>
147			<tr>
148	dpavlin	1.2	<td colspan="2" valign="top">
149	dpavlin	1.1	<div align="center">
150	dpavlin	1.2	<input type="submit" name="Submit" value="Send application form">
151	dpavlin	1.1	</div>
152			</td>
153			</tr>
154			</table>
155			</form>