Ver Mensaje Individual
  #1 (permalink)  
Antiguo 31/07/2010, 11:52
Avatar de vec
vec
 
Fecha de Ingreso: junio-2001
Mensajes: 291
Antigüedad: 22 años, 10 meses
Puntos: 8
Ayuda con un formulario

Hola a todos... necesito ayuda para convertir el formulario que arme en HTML.. que a continuacion dejo el codigo, en uno que trabaje con PHP.. y que a su vez pueda conbinarse con algo asi como CJ o CS que es para evitar SPAM... pero no tengo idea de como hacerlo... Este formulario trabjaa perfectamentre pero necesita siempre de un programa de email. Desde ya muchas gracias.

[HTML]
<html>
<head>
<meta http-equiv="Content-Type" content="text/html; charset=windows-1252">
<meta http-equiv="Content-Language" content="en-us">

</head>

<body link="#000000" vlink="#000000" alink="#000000" background="images/canineback.jpg" >
<form method="POST" enctype="text/plain" action="mailto:[email protected]" name="Test" onSubmit name="Employment" enctype="text/plain">

<div align="center">
<center>

<table border="0" width="80%" cellspacing="0" cellpadding="0">

</center>
<tr>
<td width="100%" valign="bottom">
<p align="center"><b><font face="Arial">APPLICATION FOR EMPLOYMENT</font></b></p>
<p><font face="Arial"><font size="2"><b>PERSONAL INFORMATION&nbsp;</b></font>
<font size="1">&nbsp;&nbsp;</font><b><font size="1">
Date:</font> </b><input type="text" name="Date" size="8"></font></p>
<p><font face="Arial"><font size="1"><b>Name (Last Name First):</b> </font><input type="text" name="Name" size="30">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs p;&nbsp;&nbsp;&nbsp;
<font size="1"><b>SS#:</b></font> <input type="text" name="Social Security" size="11" value="000-00-0000"></font></p>
<p><font face="Arial"><font size="1"><b>Present Address:</b></font>&nbsp;&nbsp;&nbsp;&nbsp;
<input type="text" name="Address" size="30">&nbsp;&nbsp;<font size="1"><b>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
City: </b></font><input type="text" name="City" size="10">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<b>< font size="1">&nbsp;&nbsp;
State: </font></b><input type="text" name="State" size="2">&nbsp;&nbsp;&nbsp;
&nbsp;<b><font size="1"> Zip Code:</font></b> <input type="text" name="Zipe code" size="5"></font></p>
<p><font face="Arial"><b><font size="1">Permanent Address: </font></b><input type="text" name="Address" size="30">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
<font size="1"><b>City: </b></font><input type="text" name="City" size="10">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs p;
<font size="1"><b>State:</b></font> <input type="text" name="State" size="2">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
<font size="1"><b>Zip Code: </b></font><input type="text" name="Zipe code" size="5"></font></p>
<p><font face="Arial"><b><font size="1">Phone #:</font></b> <input type="text" name="Phone" size="14" value="(000)-000-0000">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
<b><font size="1">Referred by: </font></b><input type="text" name="Referency" size="30"></font></p>
<p>&nbsp;</p>
<p><font face="Arial" size="2"><b>EMPLOYMENT DESIRED</b></font></p>
<p><font face="Arial"><b><font size="1">Position:</font></b>&nbsp;<select size="1" name="Position">
<option selected>Front Desk</option>
<option>Kennel Help Needed</option>
</select>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b><font size="1">Date
you can start: </font></b><input type="text" name="Date1" size="8">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp ;&nbsp;
<font size="1"><b>Hourly/Salary Wages Desired: </b></font><input type="text" name="Salary" size="5"></font></p>
<p align="center"><font face="Arial" size="1"><b>Full Time: <input type="radio" value="V1" checked name="Full Time">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n bsp;&nbsp;&nbsp;&nbsp;
Part Time: <input type="radio" value="V1" name="Part Time">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n bsp;&nbsp;&nbsp;&nbsp;
Either: <input type="radio" value="V1" name="Either"></b></font></p>
<p><font face="Arial"><b><font size="1">Are you employed?:</font></b> <select size="1" name="Employed">
<option selected>Yes</option>
<option>No</option>
</select>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;& nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp ;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;& nbsp;&nbsp;
&nbsp;<b><font size="1"> If so, may we inquire of your present
employer?</font></b> <select size="1" name="Employer">
<option selected>Yes</option>
<option>No</option>
</select></font></p>
<p><font face="Arial"><b><font size="1">Ever applied to this company
before?: </font></b><select size="1" name="Company">
<option>Yes</option>
<option selected>No</option>
</select>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;& nbsp;&nbsp;&nbsp; <font size="1"><b>Where?:
</b></font><input type="text" name="Where" size="15">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp ;
<b><font size="1">When?:</font></b> <input type="text" name="When" size="8"></font></p>
<p>&nbsp;</p>
<p><font face="Arial" size="2"><b>EDUCATION HISTORY</b></font></p>
<div align="center">
<center>
<table border="1" width="99%">
<tr>
<td width="40%" colspan="2" align="center"><font face="Arial" size="1"><b>Name
&amp; Location of School</b></font></td>
<td width="9%" align="center"><font face="Arial" size="1"><b>Years</b></font></td>
<td width="17%" align="center"><font face="Arial" size="1"><b>Did
you Graduate?</b></font></td>
<td width="34%" align="center"><font face="Arial" size="1"><b>Subjects
Studied</b></font></td>
</tr>
<tr>
<td width="20%" align="center"><font face="Arial" size="1"><b>Grammar
School</b></font></td>
<td width="20%" align="center"><font face="Arial"><input type="text" name="Location1" size="15"></font></td>
<td width="9%" align="center"><font face="Arial"><input type="text" name="Years1" size="2"></font></td>
__________________
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