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698 lines (662 loc) · 34.3 KB
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<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8" />
<meta http-equiv="X-UA-Compatible" content="IE=edge" />
<meta name="viewport" content="width=device-width, initial-scale=1.0" />
<!-- stylesheets -->
<link rel="stylesheet" href="bootstrap/css/bootstrap.min.css" />
<link rel="stylesheet" href="jquery/ui/jquery-ui.min.css" />
<link rel="stylesheet" href="css/sitewide.css" />
<title>Careers</title>
<link rel="shortcut icon" href="/images/logo.png" type="image/x-icon" />
</head>
<body>
<div class="container-fluid">
<nav id="nav_bar" class="navbar fixed-top navbar-expand-lg navbar-light bg-light">
<a class="navbar-brand" href="#">
<img src="images/logo.png" height="75" />
Careers
</a>
<button class="navbar-toggler" type="button" data-toggle="collapse" data-target="#navbarNav"
aria-controls="navbarNav" aria-expanded="false" aria-label="Toggle navigation">
<span class="navbar-toggler-icon"></span>
</button>
<div class="collapse navbar-collapse" id="navbarNav">
<ul class="navbar-nav">
<li class="nav-item active">
<a class="nav-link" href="#">Teams</a>
</li>
<li class="nav-item">
<a class="nav-link" href="#">Locations</a>
</li>
<li class="nav-item">
<a class="nav-link" href="#">Benefits</a>
</li>
<li class="nav-item">
<a class="nav-link" href="#">Jobs</a>
</li>
</ul>
</div>
</nav>
<div class="col-xs-12">
<div id="nav-back"></div>
<header>
<div id="heading">
<h1>Employment Application</h1>
<h4>
Position:
<span id="position-title">Software Developer, I</span>
</h4>
</div>
</header>
</div>
<div class="container">
<div id="tabs">
<ul>
<li><a href="#tabs-1">Personal</a></li>
<li><a href="#tabs-2">Education</a></li>
<li><a href="#tabs-3">Experience</a></li>
<li><a href="#tabs-4">Footprint</a></li>
<li><a href="#tabs-5">Finish</a></li>
</ul>
<!-- beginning of personal information tab -->
<div id="tabs-1">
<form class="tab-form" id="personal-data-form">
<fieldset id="personal-data">
<legend>About You</legend>
<div class="row">
<label for="legalName" class="col-md-3">Legal Name</label>
<input class="col-md-6" type="text" name="legalName" id="legal-name" label />
</div>
<div class="row">
<label for="preferredName" class="col-md-3">Preferred Name</label>
<input type="text" name="preferredName" id="preferred-name" class="col-md-6" />
</div>
<div class="row">
<label for="streetAddress" class="col-md-3">Street Address</label>
<input type="text" name="streetAddress" id="street-address" class="col-md-6" />
</div>
<div class="row">
<label for="cityAddress" class="col-md-3">City</label>
<input type="text" name="cityAddress" id="city-address" class="col-md-3" />
</div>
<div class="row">
<label for="stateAddress" class="col-md-3">State</label>
<select name="stateAddress" id="state-address" class="col-md-3"></select>
<!-- <input type="text" name="stateAddress" id="state-address" class="col-md-3" /> -->
</div>
<div class="row">
<label for="zipAddress" class="col-md-3">Postal Code</label>
<input type="text" name="zipAddress" id="zip-address" class="col-md-3" />
</div>
<div class="row">
<label for="socialSecurityNumber" class="col-md-3">Social Security Number</label>
<input type="text" name="socialSecurityNumber" id="social-security-number" placeholder="9 digits only"
class="col-md-3 hasPlaceholder" />
</div>
<label for="birthday" class="col-md-3">Date of Birth</label>
<input class="col-md-3" type="text" name="birthday" id="datepicker-birthday" placeholder="MM/DD/YYYY"
data-mask="00/00/0000" />
<br />
<label for="primaryPhone" class="col-md-3">Primary Phone</label>
<input type="text" name="primaryPhone" id="primary-phone" class="col-md-3 hasPlaceholder"
placeholder="10 digits only" />
<br />
<label for="emailAddress" class="col-md-3">Email Address</label>
<input type="tex" name="emailAddress" placeholder="example: email@domain.com" id="email-address"
class="col-md-3 hasPlaceholder" />
<br />
<label for="website" class="col-md-3">Personal Website</label>
<input class="col-md-3" type="text" name="website" id="website" />
<br />
<label for="start-date" class="col-md-3">Available Start Date:</label>
<input class="col-md-3" type="text" name="startDate" id="start-date" placeholder="MM/DD/YYYY" />
<br />
</fieldset>
<div class="action-container col-2-sm">
<input type="submit" value="Continue" id="submit-personal-data" class="appButton" />
</div>
</form>
</div>
<!-- end of personal information tab -->
<!-- beginning of education tab -->
<div id="tabs-2">
<form class="tab-form" id="education-data-form" autocomplete="off">
<fieldset id="education-data">
<legend>Your Education</legend>
<div id="higher-ed" class="row">
<h5 class="col-md-7">Attend university, college, business or technical school?</h5>
<div class="col-md-5">
<div class="row">
<div class="col-md-6 radio-container">
<input class="radio-input" id="ed-yes" type="radio" name="higherEd" value="yes" checked />
<label for="ed-yes" class="radio-text">Yes</label>
</div>
<div class="col-md-6 radio-container">
<input class="radio-input" id="ed-no" type="radio" name="higherEd" value="no" />
<label for="ed-no" class="radio-text">No</label>
</div>
</div>
</div>
</div>
<hr />
<div id="schools">
<h3>Education</h3>
<div class="row">
<label class="col-md-3" for="education-number-1">School Name</label>
<input class="col-md-6" type="text" name="educationNumberOne" id="education-number-1" />
</div>
<div class="row">
<label for="education-1-city" class="col-md-3">School City</label>
<input type="text" name="educationNumberOneCity" id="education-1-city" class="col-md-6" />
</div>
<div class="row">
<label for="education-1-degree" class="col-md-3">Certificate or Degree</label>
<input type="text" name="educationNumberOneDegree" id="education-1-degree" class="col-md-6" />
</div>
<div class="row">
<label for="education-1-status" class="col-md-3">Certificate or Degree Status</label>
<select id="education-1-status" class="edStatus col-md-4" name="educationNumberOneStatus">
<option value=""></option>
<option value="Degree or certificate received">Degree or certificate received</option>
<option value="Pending graduation only">Pending graduation only</option>
<option value="In Process">In process</option>
</select>
</div>
<div class="row">
<label for="education-1-major" class="col-md-3">Major Area of Study</label>
<input type="text" name="educationNumberOneMajor" id="education-1-major" class="col-md-6" />
</div>
<div class="row">
<label for="education-1-date" class="col-md-3">Date of Graduation</label>
<input type="text" name="educationNumberOneDate" class="education-date col-md-4" id="education-1-date"
placeholder="MM/DD/YYYY" />
</div>
<p id="get-school-2" class="schoolButton">ADD ANOTHER</p>
<div id="school-number-2">
<h3>Education</h3>
<div class="row">
<label for="education-number-2" class="col-md-3">School Name</label>
<input type="text" name="educationNumberTwo" id="education-number-2" class="col-md-6" />
</div>
<div class="row">
<label for="education-2-city" class="col-md-3">School City</label>
<input type="text" name="educationNumberTwoCity" id="education-2-city" class="col-md-6" />
</div>
<div class="row">
<label for="education-2-degree" class="col-md-3">Certificate or Degree</label>
<input type="text" name="educationNumberTwoDegree" id="education-2-degree" class="col-md-6" />
</div>
<div class="row">
<label for="education-2-status" class="col-md-3">Certificate or Degree Status</label>
<select id="education-2-status" class="edStatus col-md-4" name="educationNumberTwoStatus">
<option value=""></option>
<option value="Degree or certificate received">Degree or certificate received</option>
<option value="Pending graduation only">Pending graduation only</option>
<option value="In Process">In process</option>
</select>
</div>
<div class="row">
<label for="education-2-major" class="col-md-3">Major Area of Study</label>
<input type="text" name="educationNumberTwoMajor" id="education-2-major" class="col-md-6" />
</div>
<div class="row">
<label for="education-2-date" class="col-md-3">Date of Graduation</label>
<input type="text" name="educationNumberTwoDate" class="education-date col-md-4"
id="education-2-date" placeholder="MM/DD/YYYY" />
</div>
<p id="remove-school-2" class="schoolButton">REMOVE SECOND</p>
<p id="get-school-3" class="schoolButton">ADD ANOTHER</p>
</div>
<div id="school-number-3">
<h3>Education</h3>
<div class="row">
<label for="education-number-3" class="col-md-3">School Name</label>
<input type="text" name="educationNumberThree" id="education-number-3" class="col-md-6" />
</div>
<div class="row">
<label for="education-3-city" class="col-md-3">School City</label>
<input type="text" name="educationNumberThreeCity" id="education-3-city" class="col-md-6" />
</div>
<div class="row">
<label for="education-3-degree" class="col-md-3">Certificate or Degree</label>
<input type="text" name="educationNumberThreeDegree" id="education-3-degree" class="col-md-6" />
</div>
<div class="row">
<label for="education-3-status" class="col-md-3">Certificate or Degree Status</label>
<select id="education-3-status" class="edStatus col-md-4" name="educationNumberThreeStatus">
<option value=""></option>
<option value="Degree or certificate received">Degree or certificate received</option>
<option value="Pending graduation only">Pending graduation only</option>
<option value="In Process">In process</option>
</select>
</div>
<div class="row">
<label for="education-3-major" class="col-md-3">Major Area of Study</label>
<input type="text" name="educationNumberThreeMajor" id="education-3-major" class="col-md-6" />
</div>
<div class="row">
<label for="education-3-date" class="col-md-3">Date of Graduation</label>
<input type="text" name="educationNumberThreeDate" class="education-date col-md-4"
id="education-3-date" />
</div>
<p id="remove-school-3" class="schoolButton">REMOVE THIRD</p>
<br />
</div>
</div>
</fieldset>
<div class="row action-container">
<input type="submit" value="Continue" id="submit-education-data" class="col-sm-2 appButton" />
<div class="col-sm"></div>
<div class="col-sm-2 back-button">Back</div>
</div>
</form>
</div>
<!-- end of education tab -->
<!-- beginning of experience tab -->
<div id="tabs-3">
<form class="tab-form" id="experience-data-form" autocomplete="off">
<fieldset id="experience-data">
<legend>Your Experience</legend>
<div id="experience" class="row">
<h4 class="col-md-7">Will this be your first job?</h4>
<div class="col-md-5">
<div class="row">
<div class="col-md-6 radio-container">
<input class="col-sm-6 radio-input" id="ex-yes" type="radio" name="hasExperience" value="yes" />
<label class="col-sm-6 radio-text" for="ex-yes" id="ex-yes-label">Yes</label>
</div>
<div class="col-md-6 radio-container">
<input class="col-sm-6 radio-input" id="ex-no" type="radio" name="hasExperience" value="no" />
<label class="col-sm-6 radio-text" for="ed-no" id="ex-no-label">No</label>
</div>
</div>
</div>
<br />
</div>
<div id="employers">
<div id="has-military" class="row">
<h4 class="col-md-7">Do you have military experience?</h4>
<div class="col-md-5">
<div class="row">
<div class="col-md-6 radio-container">
<input class="radio-input" id="military-yes" type="radio" name="hasMilitary" value="yes" />
<label class="radio-text" for="ex-yes" id="military-yes-label">Yes</label>
</div>
<div class="col-md-6 radio-container">
<input class="radio-input" id="military-no" type="radio" name="hasMilitary" value="no"
checked />
<label class="radio-text" for="ed-no" id="military-no-label">No</label>
</div>
</div>
</div>
</div>
<div class="row">
<div class="col-md-2"></div>
<div id="military-form" class="col-md-8">
<h3>Required Service Information</h3>
<div class="row">
<div class="col-md-4">
<label for="military-start">Service Start Date</label>
</div>
<div class="col-md-4">
<input type="text" name="militaryStart" id="military-start" class="experienceDates" />
</div>
</div>
<div class="row">
<div class="col-md-4">
<label class="col-md-3" for="military-end">Service Discharge Date</label>
</div>
<div class="col-md-4">
<input type="text" name="militaryEnd" id="military-end" class="experienceDates" />
</div>
</div>
<div class="row">
<div class="col-md-4">
<label for="discharge-status">Discharge Status</label>
</div>
<div class="col-md-4">
<select id="discharge-status" name="dischargeStatus" class="dischargeComments">
<option value=""></option>
<option value="Still in service">Still in service</option>
<option value="Honorable Discharge">Honorable Discharge</option>
<option value="General Discharge">General Discharge (Honorable)</option>
<option value="Other">Other</option>
</select>
</div>
</div>
<div class="row">
<div class="col-md-4">
<label for="discharge-details">Discharge Comments</label>
</div>
<div class="col-md-8">
<input type="textarea" name="dischargeComments" id="discharge-details"
title="Required for other than honorable discharge." />
</div>
</div>
</div>
<div class="col-md-2"></div>
</div>
<h3>Employer</h3>
<div class="row">
<label class="col-md-3" for="employer-number-1">Employer Name</label>
<input class="col-md-6" type="text" name="employerNumberOne" id="employer-number-1" />
<div class="col-md-3"></div>
</div>
<div class="row">
<label class="col-md-3" for="employer-1-title">Job Title</label>
<input class="col-md-6" type="text" name="employerOneTitle" id="employer-1-title" />
</div>
<div class="row">
<label class="col-md-3" for="employer-1-start">Start Date</label>
<input class="col-md-4" type="text" name="employerOneStart" id="employer-1-start"
class="experienceDates" />
</div>
<div class="row">
<label class="col-md-3" for="employer-1-end">End Date</label>
<input class="col-md-4" type="text" name="employerOneEnd" id="employer-1-end"
class="experienceDates" />
</div>
<div class="row">
<label class="col-md-3" for="employer-1-city">City</label>
<input class="col-md-6" type="text" name="employerOneCity" id="employer-1-city" />
</div>
<div class="row">
<label class="col-md-3" for="employer-1-state">State</label>
<input class="col-md-6" type="text" name="employerOneState" id="employer-1-state" />
</div>
<div class="row current-employer">
<div class="col-md-6">
<label for="employer-1-current" class="current">This is my current employment</label>
</div>
<div class="col-md-1">
<input type="checkbox" class="current" id="employer-1-current" name="employerOneCurrent"
value="current" />
</div>
<div class="col-md-4"></div>
</div>
<br />
<p id="get-employer-2" class="addRemoveButton">ADD ANOTHER</p>
<br />
<div id="employer-number-2">
<h3>Employer</h3>
<div class="row">
<label class="col-md-3" for="employer-number-2">Employer Name</label>
<input class="col-md-6" type="text" name="employerNumberTwo" id="employer-number-2" />
</div>
<div class="row">
<label class="col-md-3" for="employer-2-title">Job Title</label>
<input class="col-md-6" type="text" name="employerTwoTitle" id="employer-2-title" />
</div>
<div class="row">
<label class="col-md-3" for="employer-2-start">Start Date</label>
<input class="col-md-4" type="text" name="employerTwoStart" id="employer-2-start"
class="experienceDates" />
</div>
<div class="row">
<label class="col-md-3" for="employer-2-end">End Date</label>
<input class="col-md-4" type="text" name="employerTwoEnd" id="employer-2-end"
class="experienceDates" />
</div>
<div class="row">
<label class="col-md-3" for="employer-2-city">City</label>
<input class="col-md-6" type="text" name="employerTwoCity" id="employer-2-city" />
</div>
<div class="row">
<label class="col-md-3" for="employer-2-state">State</label>
<input class="col-md-6" type="text" name="employerTwoState" id="employer-2-state" />
</div>
<div class="row current-employer">
<div class="col-md-6">
<label for="employer-2-current" class="current">This is my current employment</label>
</div>
<div class="col-md-1">
<input type="checkbox" class="current" id="employer-2-current" name="employerTwoCurrent"
value="current" />
</div>
<div class="col-md-4"></div>
</div>
<p id="remove-employer-2" class="addRemoveButton">REMOVE SECOND</p>
<p id="get-employer-3" class="addRemoveButton">ADD ANOTHER</p>
</div>
<div id="employer-number-3">
<h3>Employer</h3>
<div class="row">
<label class="col-md-3" for="employer-number-3">Employer Name</label>
<input class="col-md-6" type="text" name="employerNumberThree" id="employer-number-3" />
</div>
<div class="row">
<label class="col-md-3" for="employer-3-title">Job Title</label>
<input class="col-md-6" type="text" name="employerThreeTitle" id="employer-3-title" />
</div>
<div class="row">
<label class="col-md-3" for="employer-3-start">Start Date</label>
<input class="col-md-4" type="text" name="employerThreeStart" id="employer-3-start"
class="experienceDates" />
</div>
<div class="row">
<label class="col-md-3" for="employer-3-end">End Date</label>
<input class="col-md-4" type="text" name="employerThreeEnd" id="employer-3-end"
class="experienceDates" />
</div>
<div class="row">
<label class="col-md-3" for="employer-3-city">City</label>
<input class="col-md-6" type="text" name="employerThreeCity" id="employer-3-city" />
</div>
<div class="row">
<label class="col-md-3" for="employer-3-state">State</label>
<input class="col-md-6" type="text" name="employerThreeState" id="employer-3-state" />
</div>
<div class="row current-employer">
<div class="col-md-6">
<label for="employer-3-current" class="current">This is my current employment</label>
</div>
<div class="col-md-1">
<input type="checkbox" class="current" id="employer-3-current" name="employerThreeCurrent"
value="current" />
</div>
<div class="col-md-4"></div>
</div>
<p id="remove-employer-3" class="addRemoveButton">REMOVE THIRD</p>
</div>
</div>
</fieldset>
<div class="row action-container">
<input type="submit" value="Continue" id="submit-experience-data" class="col-sm-2 appButton" />
<div class="col-sm"></div>
<div class="col-sm-2 back-button">Back</div>
</div>
</form>
</div>
<!-- end of experience tab -->
<!-- beginning of footprint section of application -->
<div id="tabs-4">
<form class="tab-form" id="footprint-data-form" autocomplete="off">
<div id="footprint-message">
<h4>Your Footprint</h4>
<p>
This section is intended to over candidates a change to show demonstrate their capacity and character
through their social media networks. The only social media networks reviewed as part of your
application will be those provided below.
</p>
<br />
<p>Providing your social media network is not required.</p>
</div>
<fieldset>
<legend>Professional</legend>
<br />
<div class="row">
<label class="col-md-3" for="linkedInProfile">LinkedIn:</label>
<input class="col-md-6" type="text" name="linkedInProfile" id="linhkedin-profile" />
</div>
<div class="row">
<label class="col-md-3" for="githubProfile">Github:</label>
<input class="col-md-6" type="text" name="githubProfile" id="github-profile" />
</div>
<div class="row">
<label class="col-md-3" for="stackOverflowProfile">StackOverflow:</label>
<input class="col-md-6" type="text" name="stackOverflowProfile" id="stackoverflow-profile" />
</div>
<div class="row">
<label class="col-md-3" for="redditProfile">Reddit:</label>
<input class="col-md-6" type="text" name="redditProfile" id="reddit-profile" />
</div>
<div class="row">
<label class="col-md-3" for="otherProProfiles">Others:</label>
<input class="col-md-6" type="" type="textarea" name="otherProProfiles" id="other-pro-profiles"
placeholder="Provide social media profiles with each separated by a comma." />
</div>
</fieldset>
<fieldset>
<legend>Personal</legend>
<br />
<div class="row">
<label class="col-md-3" for="twitterProfile">Twitter:</label>
<input class="col-md-6" type="text" name="twitterProfile" id="twitter-profile" />
</div>
<div class="row">
<label class="col-md-3" for="facebookProfile">Facebook:</label>
<input class="col-md-6" type="text" name="facebookProfile" id="facebook-profile" />
</div>
<div class="row">
<label class="col-md-3" for="youTubeProfile">YouTube:</label>
<input class="col-md-6" type="text" name="youTubeProfile" id="youtube-profile" />
</div>
<div class="row">
<label class="col-md-3" for="otherPersonalProfiles">Others:</label>
<input class="col-md-6" type="textarea" name="otherPersonalProfiles" id="other-personal-profiles"
placeholder="Provide social media profiles with each separated by a comma." />
</div>
</fieldset>
<div class="row action-container">
<input type="submit" value="Continue" id="submit-footprint-data-form" class="col-sm-2 appButton" />
<div class="col-sm"></div>
<div class="col-sm-2 back-button">Back</div>
</div>
</form>
</div>
<!-- end of footprint section -->
<!-- beginning of final application section: review and consent -->
<div id="tabs-5">
<form class="tab-form" id="final-form" autocomplete="off">
<fieldset id="final-consent">
<legend>Review and Submit</legend>
<h4>Your Application</h4>
<p>
Please review the application information you have submitted below. If you would like to edit your
input, you may do so by clicking the 'Edit' button below.
</p>
<table id="application-content">
<script></script>
</table>
</fieldset>
<h3>Criminal Background Check</h3>
<div id="crime_screen" class="row">
<label class="col-md-6" for="felony">
A criminal background check is conducted for all of our applicants.
<br />
Have you ever been convicted of a felony?
</label>
<div class="col-md-6">
<select class="col-md-3" name="felony">
<option value="">Yes or No</option>
<option value="yes">Yes</option>
<option value="no">No</option>
</select>
</div>
<br />
<textarea name="criminal_explanation" id="criminal_explanation"
placeholder="Explanation required for felony crimes."></textarea>
</div>
<h3>Agreement and Consent</h3>
<p>
I hereby certify that the information hereunder is correct to the best of my knowledge and understand
that falsification of this information is grounds for refusal to hire or, if hired, dismissal.
</p>
<p>
I hereby authorize any of the persons or organizations listed in my application to give all information
concerning my previous employment, education, or any other information they might have, personal or
otherwise, with regard to any of the subjects covered by this application, and release all such parties
from all liability that may result from furnishing such information to you.
</p>
<p>
I authorize you to request and receive such information. In consideration for my employment and my being
considered for employment by your company, I agree to adhere to the rules and regulations of the company
and hereby acknowledge that these rules and regulations may be changed by your company at any time, at
the company’s sole option and without any prior notice.
</p>
<p>
I acknowledge that my employment may be terminated, and any offer of employment, if such is made, may be
withdrawn, with or without prior notice, at any time, at the option of either the company or me.
</p>
<p>
I understand that no representative of the company has any authority to enter into any agreement for
employment for any specified period of time, or to assure or make some other personnel move, either
prior to commencement of employment or after I have become employed, or to assure any benefits or terms
and conditions of employment, or to make any agreement, that is contrary to the foregoing.
</p>
<p>
I understand that this application is for demonstration purposes only, and not intended to represent an
actual application for employment.
</p>
<p>I hereby acknowledge and agree to these terms as stated with my electronic signature below.</p>
<div id="signature_block" class="row">
<label class="col-md-3" for="signature">Electronic Signature:</label>
<br />
<div class="col-md-8">
<input class="col-md-4 hasPlaceholder" type="text" name="signature" id="signature"
placeholder="Enter Full Name Here" />
</div>
</div>
<div class="row action-container">
<input type="submit" value="Submit" id="submit-application" class="col-sm-2 appButton" />
<div class="col-sm"></div>
<div id="edit-application" class="col-sm-2 back-button">Edit</div>
</div>
</form>
</div>
<!-- end of final application section -->
</div>
</div>
</div>
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<div class="col-lg-4 col-md-6">
<h5 class="h1 text-white">Careers</h5>
<p class="small">An interactive employment application.</p>
<p class="small mb-0">
© Copyrights. All rights reserved.
<a href="https://mdbytes.com">MD Bytes</a>
</p>
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<h5 class="text-white mb-3">Quick links</h5>
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