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Ready-to-use "Employment Application" form
The "Employment Application" form is an important form for any business!
The form is protected from SPAM with a Captcha image.
There are two types of forms available - BasicCaptcha script and
ProCaptcha protecton service.
Compare BasicCaptcha vs. ProCaptcha.
See the form screenshot
(ProCaptcha is shown) and then click Back.
If you already have a ProCaptcha account,
please feel free to request assistance
over phone or by Windows Live Messenger.
An email support is available to both members and non-members.
How to use BasicCaptcha code
1. Copy and paste the code below into your webpage.
2. Change the email address your@email.com to your own email address.
3. Change the return address http://www.YourWebsiteAddress.com/ThankYouPage.htm to your website address.
4. You can also change the email subject - Employment Application.
<h2>Employment Application</h2>
<style type="text/css">
body
{
margin:8px;
padding:8px;
background-color:#6699FF;
color:#000000;
font-size:12px;
line-height:17px;
font-family:Verdana,Arial,Helvetica,sans-serif
}
.txtFields
{
width:110px;
border:1px solid #999999;
}
</style>
<script type="text/javascript">
function ValidateForm(frm) {
if (frm.First_Name.value == "") {alert('First name is required.');frm.First_Name.focus();return false;}
if (frm.Last_Name.value == "") {alert('Last name is required.');frm.Last_Name.focus();return false;}
if (frm.Email_Address.value == "") {alert('Email address is required.');frm.Email_Address.focus();return false;}
if (frm.Email_Address.value.indexOf("@") < 1 || frm.Email_Address.value.indexOf(".") < 1) {alert('Please enter a valid email address.');frm.Email_Address.focus();return false;}
if (frm.Position.value == "") {alert('Position is required.');frm.Position.focus();return false;}
if (frm.Phone.value == "") {alert('Phone is required.');frm.Phone.focus();return false;}
if (frm.skip_CaptchaCode.value == "") {alert('Enter security code.');frm.skip_CaptchaCode.focus();return false;}
return true; }
</script>
<hr />
<form action="http://www.SnapHost.com/captcha/send.aspx" id="ContactUsCaptchaWebForm" method="post" onsubmit="return ValidateForm(this);">
<input id="skip_WhereToSend" name="skip_WhereToSend" type="hidden" value="your@email.com" />
<input id="skip_SnapHostID" name="skip_SnapHostID" type="hidden" value="L8M72BFJ4ZUC" />
<input id="skip_WhereToReturn" name="skip_WhereToReturn" type="hidden" value="http://www.YourWebsiteAddress.com/ThankYouPage.htm" />
<input id="skip_Subject" name="skip_Subject" type="hidden" value="Employment Application" />
<input id="skip_ShowUsersIp" name="skip_ShowUsersIp" type="hidden" value="1" />
<input id="skip_SendCopyToUser" name="skip_SendCopyToUser" type="hidden" value="1" />
<table border="0" cellpadding="5" cellspacing="0">
<tr>
<td style="width:50%">
<b>First name *</b><br />
<input name="First_Name" type="text" maxlength="50" class="txtFields" style="width:260px" />
</td>
<td style="width:50%">
<b>Last name *</b><br />
<input name="Last_Name" type="text" maxlength="50" class="txtFields" style="width:260px" />
</td>
</tr>
<tr>
<td colspan="2">
<b>Email *</b><br />
<input name="Email_Address" type="text" maxlength="100" class="txtFields" style="width:535px" />
</td>
</tr>
<tr>
<td colspan="2">
<b>Portfolio website</b><br />
<input name="Portfolio" type="text" maxlength="255" value="http://" class="txtFields" style="width:535px" />
</td>
</tr>
<tr>
<td colspan="2">
<b>Position you are applying for *</b><br />
<input name="Position" type="text" maxlength="100" class="txtFields" style="width:535px" />
</td>
</tr>
<tr>
<td style="width:50%">
<b>Salary requirements</b><br />
<input name="Salary" type="text" maxlength="50" class="txtFields" style="width:260px" />
</td>
<td style="width:50%">
<b>When can you start?</b><br />
<input name="StartDate" type="text" maxlength="50" class="txtFields" style="width:260px" />
</td>
</tr>
<tr>
<td style="width:50%">
<b>Phone *</b><br />
<input name="Phone" type="text" maxlength="50" class="txtFields" style="width:260px" />
</td>
<td style="width:50%">
<b>Fax</b><br />
<input name="Fax" type="text" maxlength="50" class="txtFields" style="width:260px" />
</td>
</tr>
<tr>
<td colspan="2">
<b>Are you willing to relocate?</b><br />
<input name="Relocate" type="radio" value="Yes" checked="checked" /> Yes
<input name="Relocate" type="radio" value="No" /> No
<input name="Relocate" type="radio" value="NotSure" /> Not sure
</td>
</tr>
<tr>
<td colspan="2">
<b>Last company you worked for</b><br />
<input name="Organization" type="text" maxlength="100" class="txtFields" style="width:535px" />
</td>
</tr>
<tr>
<td colspan="2">
<b>Reference / Comments / Questions</b><br />
<textarea name="Reference" rows="7" cols="40" class="txtFields" style="width:535px"></textarea>
</td>
</tr>
</table>
<br />
<div style="text-align:center;">
<table border="0" cellpadding="0" cellspacing="0" style="text-align:center; width:300px; margin:auto;">
<tr><td colspan="2" style="padding-bottom:18px;">
<!-- Do not remove this link or we will block your website!
Please refer to our ProCaptcha service which is ad-free -->
<a href="http://www.SnapHost.com/captcha/ProCaptchaOverview.aspx"
style="text-decoration:none; font-size:11px; font-family:Verdana, Arial, Helvetica; color:#000099;">
This web form is protected from SPAM by
<span style="text-decoration:underline;">SnapHost.com</span></a></td></tr>
<tr>
<td><i>Enter security code</i></td>
<td>SECURITY CODE</td>
</tr>
<tr>
<td>
<input name="skip_CaptchaCode" class="txtFields" type="text" maxlength="6"
style="width:130px; height:28px; font-size:24px; text-align:center;" />
</td>
<td>
<a href="http://www.SnapHost.com/captcha/ProCaptchaOverview.aspx"><img alt="Web Form Code"
style="margin-left:20px; border:1px solid #999999"
src="http://www.SnapHost.com/captcha/CaptchaImage.aspx?id=L8M72BFJ4ZUC&ImgType=2" /></a>
</td>
</tr>
</table>
<br /><br />
<input name="skip_Submit" type="submit" value="Send Application" />
</div>
</form>
How to use ProCaptcha code
1. Copy and paste the code below into your webpage.
2. Specify a form in your profile with id L8M72BFJ4ZUC.
<h2>Employment Application</h2>
<style type="text/css">
body
{
margin:8px;
padding:8px;
background-color:#6699FF;
color:#000000;
font-size:12px;
line-height:17px;
font-family:Verdana,Arial,Helvetica,sans-serif
}
.txtFields
{
width:110px;
border:1px solid #999999;
}
</style>
<script type="text/javascript">
function ValidateForm(frm) {
if (frm.First_Name.value == "") {alert('First name is required.');frm.First_Name.focus();return false;}
if (frm.Last_Name.value == "") {alert('Last name is required.');frm.Last_Name.focus();return false;}
if (frm.Email_Address.value == "") {alert('Email address is required.');frm.Email_Address.focus();return false;}
if (frm.Email_Address.value.indexOf("@") < 1 || frm.Email_Address.value.indexOf(".") < 1) {alert('Please enter a valid email address.');frm.Email_Address.focus();return false;}
if (frm.Position.value == "") {alert('Position is required.');frm.Position.focus();return false;}
if (frm.Phone.value == "") {alert('Phone is required.');frm.Phone.focus();return false;}
if (frm.CaptchaCode.value == "") {alert('Enter security code.');frm.CaptchaCode.focus();return false;}
return true; }
</script>
<hr />
<form id="ExampleForm" action="http://www.SnapHost.com/captcha/WebFormSubmit.aspx"
onsubmit="return ValidateForm(this);" method="post">
<input id="SnapHostID" name="SnapHostID" type="hidden" value="L8M72BFJ4ZUC" />
<table border="0" cellpadding="5" cellspacing="0">
<tr>
<td style="width:50%">
<b>First name *</b><br />
<input name="First_Name" type="text" maxlength="50" class="txtFields" style="width:260px" />
</td>
<td style="width:50%">
<b>Last name *</b><br />
<input name="Last_Name" type="text" maxlength="50" class="txtFields" style="width:260px" />
</td>
</tr>
<tr>
<td colspan="2">
<b>Email *</b><br />
<input name="Email_Address" type="text" maxlength="100" class="txtFields" style="width:535px" />
</td>
</tr>
<tr>
<td colspan="2">
<b>Portfolio website</b><br />
<input name="Portfolio" type="text" maxlength="255" value="http://" class="txtFields" style="width:535px" />
</td>
</tr>
<tr>
<td colspan="2">
<b>Position you are applying for *</b><br />
<input name="Position" type="text" maxlength="100" class="txtFields" style="width:535px" />
</td>
</tr>
<tr>
<td style="width:50%">
<b>Salary requirements</b><br />
<input name="Salary" type="text" maxlength="50" class="txtFields" style="width:260px" />
</td>
<td style="width:50%">
<b>When can you start?</b><br />
<input name="StartDate" type="text" maxlength="50" class="txtFields" style="width:260px" />
</td>
</tr>
<tr>
<td style="width:50%">
<b>Phone *</b><br />
<input name="Phone" type="text" maxlength="50" class="txtFields" style="width:260px" />
</td>
<td style="width:50%">
<b>Fax</b><br />
<input name="Fax" type="text" maxlength="50" class="txtFields" style="width:260px" />
</td>
</tr>
<tr>
<td colspan="2">
<b>Are you willing to relocate?</b><br />
<input name="Relocate" type="radio" value="Yes" checked="checked" /> Yes
<input name="Relocate" type="radio" value="No" /> No
<input name="Relocate" type="radio" value="NotSure" /> Not sure
</td>
</tr>
<tr>
<td colspan="2">
<b>Last company you worked for</b><br />
<input name="Organization" type="text" maxlength="100" class="txtFields" style="width:535px" />
</td>
</tr>
<tr>
<td colspan="2">
<b>Reference / Comments / Questions</b><br />
<textarea name="Reference" rows="7" cols="40" class="txtFields" style="width:535px"></textarea>
</td>
</tr>
</table>
<br />
<div style="text-align:center;">
<table border="0" cellpadding="0" cellspacing="0" style="text-align:center; width:300px; margin:auto;">
<tr>
<td><i>Enter security code</i></td>
<td>SECURITY CODE</td>
</tr>
<tr>
<td>
<input name="CaptchaCode" class="txtFields" type="text" maxlength="6"
style="width:130px; height:28px; font-size:24px; text-align:center;" />
</td>
<td>
<a href="http://www.SnapHost.com/captcha/WebFormManagement.aspx"><img
style="border:1px solid #999999; vertical-align:bottom;" alt="Web Form Security Code"
src="http://www.SnapHost.com/captcha/WebForm.aspx?id=L8M72BFJ4ZUC&ImgType=2" /></a>
</td>
</tr>
</table>
<br /><br />
<input name="Submit" type="submit" value="Send Application" />
</div>
</form>
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What our clients say
"Huston we have a problem". Snaphost Captcha took my sky rocket spam, about 50/hour into absolute zero!
Using Captcha verification I can focus with helping people with their SEO problems and not with spam*ers.
- Martin Rotstain -
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