Forums

Hey,

I may have a job coming up which I have no time for but someone with better skills may not have a problem with. It is a 5 page Employment Application that needs to be turned into an HTML form that I can put into ChronoForms on their web site.

The form is currently in Word.

Here is the unformatted text just so you can see the extent. I would want to get back html form code that plays nice with Chronoforms.
(no proprietary code or MS Word Styles embedded)

I would pay by PayPal & would have to agree to the cost beforehand as I would need my clients okay on it.

GENERAL DATE OF APPLICATION: ____________________________________________________________ NAME: ____________________________________________________________________________ Last Name First Name Middle Initial ADDRESS: _________________________________________________________________________ Street City, State Zip PHONE #: _______________________ CELL #: _______________________________ EMAIL: ________________________________________________________________ ARE YOU ABLE TO PROVIDE VERIFICATION OF YOUR CURRENT LEGAL AUTHORIZATION TO WORK IN THE U.S. FOR ANY EMPLOYER? YES � NO � (Proof of U.S. employment authorization status will be required within 3 days of hire) IF YOU ARE A MINOR CAN YOU PROVIDE WORK AUTHORIZATION? YES � NO � ARE YOU OF LEGAL AGE TO SERVE ALCOHOLIC BEVERAGES? YES � NO � ARE YOU MEDICALLY RESTRICTED TO LIFT MORE THAN 30 POUNDS? YES � NO � HAVE YOU BEEN CONVICTED OF ANY CRIMINAL OFFENSE OTHER THAN MINOR TRAFFIC VIOLATIONS WITHIN THE LAST SEVEN YEARS? YES � NO � IF YES, PLEASE DESCRIBE: __________________________________________________________________________________________________________________________________________________________________________ PLEASE NOTE: A record of conviction will not necessarily bar you from employment. A criminal conviction will be considered only in relation to the job for which you are applying. The seriousness and nature of the offense, the time elapsed and rehabilitation will be taken into account. It is only necessary to include convictions that have not been expunged from the records. HAVE YOU EVER BEEN TERMINATED FROM A JOB? YES � NO � IF YES PLEASE EXPLAIN: _____________________________________________________________________________________ _____________________________________________________________________________________ POSITION ARE YOU SEEKING: PART TIME � FULL TIME � TEMPORARY � WHAT POSITION ARE YOU SEEKING: ________________________________________ AVAILABLE TO BEGIN WORK: IMMEDIATELY � OTHER DATE: ______________ HOW DID YOU HEAR ABOUT XXX EMPLOYMENT: NEWSPAPER � INTERNET � FRIEND REFERRED by ____________ WALK IN � HAVE YOU EVER BEEN EMPLOYED BY XXX BEFORE? YES � NO � IF YES, WHEN: ___________________ CIRCLE THE DAYS/SHIFTS YOU ARE AVAILABLE TO WORK: Tue AM Wed AM Thurs AM Fri AM Sat AM Sun Am Tue PM Wed PM Thurs PM Fri PM Sat PM Sun PM IF OFFERED THE JOB FOR WHICH YOU ARE APPLYING, ARE YOU ABLE TO PERFORM THE ESSENTIAL DUTIES OF THIS JOB WITH OR WITHOUT REASONABLE ACCOMMODATION? YES � NO � EDUCATION & TRAINING EDUCATIONAL BACKGROUND: Note: Collegiate and graduate educational history should be submitted only for those institutions accredited by an accrediting agency recognized by the federal or state department of education. If you are unsure of the accreditation of your educational institution, it must be noted on this application. Submitting degrees or coursework from a non-accredited institution will be considered a misrepresentation. Please note that we verify educational background. SCHOOL NAME/CITY, STATE DEGREE OR DIPLOMA RECEIVED (PLEASE NOTE GED OR OTHER EQUIVALENCY PROGRAM IF APPLICABLE) MAJOR STUDIES YEARS ATTENDED HIGH SCHOOL UNDERGRADUATE GRADUATE OTHER LIST ANY TRAINING RECEIVED THAT MIGHT BE RELEVANT TO THIS POSITION: SPECIAL TRAINING From (Mo/Yr) To (Mo/Yr) Subject Certificate LIST ANY OTHER SPECIAL SKILLS, CERTIFICATES OR LICENSES YOU POSSESS WHICH ARE RELEVANT TO WORKING FOR PEEL WOOD FIRED PIZZA: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ REFERENCE PLEASE LIST THREE PEOPLE WHO ARE NOT RELATIVES THAT CAN BE CONTACTED. NAME ADDRESS, CITY, STATE PHONE NUMBER OCCUPATION EMPLOYMENT HISTORY & EXPERIENCE List your employers, assignments or volunteer activities starting with your most recent one. Please explain gaps in time in employment history. Please indicate if you were employed under a different name than that provided in this application. Military experience may be included if you obtained skills which would be helpful in the job for which you are applying. IMPORTANT: THIS SECTION MUST BE COMPLETED IN DETAIL. YOU MAY ATTACH YOUR RESUME IF YOU WISH, BUT REFERENCE TO A RESUME IS NOT A SUBSTITUE FOR COMPLETING THIS SECTION. FROM (Mo/Yr): TO (Mo/Yr): EMPLOYER: JOB TITLE TELEPHONE # & ADDRESS: IMMEDIATE SUPERVISOR: TITLE: MAY WE CONTACT THIS EMPLOYER? YES � NO � NATURE OF WORK PERFORMED/RESPONSIBILITIES: SALARY: STARTING: LAST: REASON FOR LEAVING FROM (Mo/Yr): TO (Mo/Yr): EMPLOYER: JOB TITLE TELEPHONE # & ADDRESS: IMMEDIATE SUPERVISOR: TITLE: MAY WE CONTACT THIS EMPLOYER? YES � NO � NATURE OF WORK PERFORMED/RESPONSIBILITIES: SALARY: STARTING: LAST: REASON FOR LEAVING FROM (Mo/Yr): TO (Mo/Yr): EMPLOYER: JOB TITLE TELEPHONE # & ADDRESS: IMMEDIATE SUPERVISOR: TITLE: MAY WE CONTACT THIS EMPLOYER? YES � NO � NATURE OF WORK PERFORMED/RESPONSIBILITIES: SALARY: STARTING: LAST: REASON FOR LEAVING

Whoever is interested - let me know - thanks!