7 |
<tr> |
<tr> |
8 |
<td colspan="2"> |
<td colspan="2"> |
9 |
<div align="center"> |
<div align="center"> |
10 |
<p align="left">To |
<p align="left">To apply for a position with PLIVA, |
11 |
apply for a position with PLIVA, please follow the instructions below:</p> |
please follow the instructions below:</p> |
12 |
</div> |
</div> |
13 |
<ol> |
<ol> |
14 |
<li>Complete |
<li>Complete |
15 |
the contact information fields.</li> |
the contact information fields.</li> |
16 |
<li>Select |
<li>Select |
17 |
a job position/location.</li> |
a job position/location.</li> |
18 |
<li>Enter |
<li>Enter your cover letter with your recent salary history in the |
19 |
your cover letter with your recent salary history in the “comments” |
"comments" section.</li> |
20 |
section.</li> |
<li>Attach your résumé (preferably in MS Word or PDF format).</li> |
21 |
<li>Attach |
<li>Click Submit.</li> |
22 |
your résumé (preferably in MS Word or PDF format).</li> |
<li>All fields in <b>bold</b> are required</li> |
|
<li>Click |
|
|
Submit.</li> |
|
|
<li>All |
|
|
fields in <b>bold</b> are required</li> |
|
23 |
</ol> |
</ol> |
24 |
</td> |
</td> |
25 |
</tr> |
</tr> |
|
<tr> |
|
|
<td colspan="2"> </td> |
|
|
</tr> |
|
26 |
</table> |
</table> |
27 |
<form method="post" action=""> |
|
28 |
|
<form method="post" action="careers.php?part=Mail" ENCTYPE="multipart/form-data" |
29 |
|
> |
30 |
<table width="90%" border="0" cellspacing="3" cellpadding="0" align="center"> |
<table width="90%" border="0" cellspacing="3" cellpadding="0" align="center"> |
31 |
<tr> |
<tr> |
32 |
<td width="26%"><b>First |
<td><b>First Name</b>: </td> |
|
Name</b>: </td> |
|
33 |
<td> |
<td> |
34 |
<input type="text" name="textfield"> |
<input type="text" name="first_name" size="30"> |
35 |
</td> |
</td> |
36 |
</tr> |
</tr> |
37 |
<tr> |
<tr> |
38 |
<td width="26%"> <b>Last |
<td> <b>Last Name: </b></td> |
|
Name: </b></td> |
|
39 |
<td> |
<td> |
40 |
<input type="text" name="textfield2"> |
<input type="text" name="last_name" size="30"> |
41 |
</td> |
</td> |
42 |
</tr> |
</tr> |
43 |
<tr> |
<tr> |
44 |
<td width="26%"><b>Address |
<td><b>Address Line 1: </b></td> |
|
Line 1: </b></td> |
|
45 |
<td> |
<td> |
46 |
<input type="text" name="textfield3"> |
<input type="text" name="address1" size="30"> |
47 |
</td> |
</td> |
48 |
</tr> |
</tr> |
49 |
<tr> |
<tr> |
50 |
<td width="26%"><b>Address |
<td><b>Address Line 2:</b></td> |
|
Line 2:</b></td> |
|
51 |
<td> |
<td> |
52 |
<input type="text" name="textfield4"> |
<input type="text" name="address2" size="30"> |
53 |
</td> |
</td> |
54 |
</tr> |
</tr> |
55 |
<tr> |
<tr> |
56 |
<td width="26%"><b>City:</b></td> |
<td><b>City:</b></td> |
57 |
<td> |
<td> |
58 |
<input type="text" name="textfield5"> |
<input type="text" name="city" size="30"> |
59 |
</td> |
</td> |
60 |
</tr> |
</tr> |
61 |
<tr> |
<tr> |
62 |
<td width="26%"><b>State/Province:</b></td> |
<td><b>State/Province:</b></td> |
63 |
<td> |
<td> |
64 |
<input type="text" name="textfield6"> |
<input type="text" name="state" size="30"> |
65 |
</td> |
</td> |
66 |
</tr> |
</tr> |
67 |
<tr> |
<tr> |
68 |
<td width="26%"><b>ZIP/Postal |
<td><b>ZIP/Postal Code: </b></td> |
|
Code: </b></td> |
|
69 |
<td> |
<td> |
70 |
<input type="text" name="textfield7"> |
<input type="text" name="zip" size="30"> |
71 |
</td> |
</td> |
72 |
</tr> |
</tr> |
73 |
<tr> |
<tr> |
74 |
<td width="26%"><b>Country: |
<td><b>Country: </b></td> |
|
</b></td> |
|
75 |
<td> |
<td> |
76 |
<select name="country" size="1"> |
<select name="country" size="1"> |
77 |
<option value="" selected>-- Select Your Country --</option> |
<option value="" selected>-- Select Your Country --</option> |
82 |
</td> |
</td> |
83 |
</tr> |
</tr> |
84 |
<tr> |
<tr> |
85 |
<td width="26%" height="22"><b>Email |
<td><b>Email Address: </b> </td> |
86 |
Address: </b> </td> |
<td> |
87 |
<td height="22"> |
<input type="text" name="email" size="30"> |
|
<input type="text" name="textfield8"> |
|
88 |
</td> |
</td> |
89 |
</tr> |
</tr> |
90 |
<tr> |
<tr> |
91 |
<td width="26%"><b>Telephone:</b> |
<td><b>Telephone:</b> |
92 |
</td> |
</td> |
93 |
<td> |
<td> |
94 |
<input type="text" name="textfield9"> |
<input type="text" name="tel" size="30"> |
95 |
</td> |
</td> |
96 |
</tr> |
</tr> |
|
</table> |
|
|
<table width="90%" border="0" cellspacing="3" cellpadding="0" align="center"> |
|
|
<tr> |
|
|
<td height="5" width="26%"> |
|
|
<p> </p> |
|
|
</td> |
|
|
<td width="74%" height="2"> </td> |
|
|
</tr> |
|
97 |
<tr> |
<tr> |
98 |
<td colspan="2" valign="top" height="117"> |
<td colspan="2" valign="top"> |
99 |
<p align="left"><b>Purpose |
<p align="left"><b>Purpose of application:</b> |
100 |
of application: </b></p> |
<br> |
101 |
<p align="left"> |
<input type="radio" name="purpose" value="scholarship"> |
102 |
<input type="radio" name="radiobutton" value="radiobutton"> |
Interested in scholarship. |
103 |
Interested in scholarship.</p> |
<br> |
104 |
<p align="left"> |
<input type="radio" name="purpose" value="open position" {if $position}checked{/if}> |
105 |
<input type="radio" name="radiobutton" value="radiobutton"> |
Interested in |
106 |
Interested in current open position.</p> |
{if $position} |
107 |
<p align="left"> |
open position {$position.title} at {$position.location} |
108 |
<input type="radio" name="radiobutton" value="radiobutton"> |
{else} |
109 |
Interested in joining PLIVA .</p> |
current open position. |
110 |
|
{/if} |
111 |
|
<br> |
112 |
|
<input type="radio" name="purpose" value="joining PLIVA"> |
113 |
|
Interested in joining PLIVA. |
114 |
|
</p> |
115 |
|
{if $position} |
116 |
|
<input type="hidden" name="open_position" value="{$position.title}/{$position.job_code}/{$position.department}/{$position.location}"> |
117 |
|
{/if} |
118 |
</td> |
</td> |
119 |
</tr> |
</tr> |
120 |
<tr> |
<tr> |
121 |
<td width="26%" valign="top" height="7"> |
<td colspan="2" valign="top"> |
122 |
<p> </p> |
<p><b>Interest in PLIVA via:</b> |
123 |
|
<br><input type="radio" name="interest" value="Website"> |
124 |
|
Website |
125 |
|
<br><input type="radio" name="interest" value="Newspapers"> |
126 |
|
Newspapers |
127 |
|
<br><input type="radio" name="interest" value="Television"> |
128 |
|
Television |
129 |
|
<br><input type="radio" name="interest" value="Company presentation"> |
130 |
|
Company presentation |
131 |
|
<br><input type="radio" name="interest" value="PLIVA product"> |
132 |
|
PLIVA product |
133 |
|
<br><input type="radio" name="interest" value="Friend"> |
134 |
|
Friend |
135 |
|
<br><input type="radio" name="interest" value="Other"> |
136 |
|
Other: <input type="text" name="other_what"> |
137 |
|
</p> |
138 |
</td> |
</td> |
|
<td width="74%" valign="top" height="7"> </td> |
|
139 |
</tr> |
</tr> |
140 |
<tr> |
<tr> |
141 |
<td colspan="2" valign="top" height="31"> |
<td colspan="2" valign="top"> |
142 |
<p><b>Interest |
<div align="left"><b>Comments:</b> |
143 |
in PLIVA via:</b></p> |
<br> |
144 |
<p> |
<textarea name="comments" rows=5 cols=40></textarea> |
|
<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"> </td> |
|
|
</tr> |
|
|
<tr> |
|
|
<td width="26%" valign="top" height="31"> |
|
|
<div align="left"><b>Comments:</b> |
|
|
<textarea name="textfield11"></textarea> |
|
145 |
</div> |
</div> |
146 |
</td> |
</td> |
|
<td width="74%" valign="top" height="31"> </td> |
|
|
</tr> |
|
|
<tr> |
|
|
<td colspan="2" valign="top" height="31"> </td> |
|
147 |
</tr> |
</tr> |
148 |
<tr> |
<tr> |
149 |
<td colspan="2" valign="top" height="31"><b>Attach |
<td colspan="2" valign="top"><b>Attach Résumé:</b> |
150 |
Résumé:</b> |
<INPUT TYPE="hidden" name="MAX_FILE_SIZE" value="4000000"> |
151 |
<input type="file" name="file"> |
<input type="file" name="resume" size=30> |
152 |
<input type="submit" name="Submit" value="Submit File"> |
<br><div class="silver">Maximum size of résumé is 4000000 bytes!</div> |
153 |
</td> |
</td> |
154 |
</tr> |
</tr> |
155 |
<tr> |
<tr> |
156 |
<td colspan="2" valign="top" height="31"> |
<td colspan="2" valign="top"> |
157 |
<div align="center"> |
<div align="center"> |
158 |
<input type="submit" name="Submit2" value="Submit"> |
<input type="submit" name="Submit" value="Send application form"> |
159 |
</div> |
</div> |
160 |
</td> |
</td> |
161 |
</tr> |
</tr> |
162 |
</table> |
</table> |
|
<p> </p> |
|
163 |
</form> |
</form> |