All-In-One Feedback Form

All-In-One Feedback Form Employment Feedback Form Thank you for your interest in working with the finest drapery workroom in America. We are proud to offer a wonderful work environment and great people to work with. If you are experienced with a sewing machine, powertools and or a working knowledge of upholstery applications, then we are looking for you. Please fill out the form below and allow us to contact you and see if we are a perfect fit for oneanother. I look forward to hearing from you and talking about a future with - THE DRAPERY WORKS.

"; $form_block = "

Employment Information Request
First Name:		Last Name
Home Phone		Cell Phone
Email Address
Are you a citizen of the US - Yes/No		If No, are you authorized to work in the US - Yes/No
Have you ever worked for this company YES/NO		If so, when
Position/Type work Applying for		Date available to work
Provide qualifying experience

"; if($_POST[op] !="ds"){ //they need to see the form echo "$form_block"; } else if ($_POST[op] == "ds") { // check value of $_POST[fname_txt] if ($_POST[fname_txt] == "") { $name_err = "Please enter your name!
"; $send = "no"; } // check value of $_POST[email_txt] if ($_POST[email_txt] == "") { $email_err = "Please enter your e-mail address!
"; $send = "no"; } //check value of $_POST[experience_stxt] if ($_POST[experience_stxt] == "") { $message_err = "Please enter a message!
"; $send = "no"; } if ($send != "no") { // it's ok to send, build mail $to = "lawrence.randall@thedraperyworks.com"; $subject = "Employment Request\r\n"; $mailheaders = "From: The Drapery Works Website <> \r\n"; $mailheaders = $mailheaders . "Reply-To: $_POST[email_txt]\r\n\r\n"; $msg = "E-MAIL SENT FROM WWW SITE\r\n"; $msg = $msg . "Sender's First Name: $_POST[fname_txt]\r\n"; $msg = $msg . "Sender's Last Name: $_POST[lname_txt]\r\n"; $msg = $msg . "Sender's Home Phone: $_POST[hphone_txt]\r\n"; $msg = $msg . "Sender's Cell Phone: $_POST[cphone_txt]\r\n"; $msg = $msg . "Sender's E-Mail: $_POST[email_txt]\r\n"; $msg = $msg . "Sender a US Citizen: $_POST[uscitizen_rb]\r\n"; $msg = $msg . "Sender authorized to work: $_POST[usauth_rb]\r\n"; $msg = $msg . "Sender available to work date: $_POST[availdte_txt]\r\n"; $msg = $msg . "Sender a past employee: $_POST[pastemp_y]\r\n"; $msg = $msg . "Sender a past employee when: $_POST[whendte_txt]\r\n"; $msg = $msg . "Sender position applying for: $_POST[pos_txt]\r\n"; $msg = $msg . "Sender Experience: $_POST[experience_stxt]\r\n"; $msg = $msg . "Message: $_POST[message]\r\n\r\n"; // send the mail mail($to, $subject, $msg, $mailheaders); //display confirmation to user echo "

Mail has been sent!

The following is the information you entered.

"; echo ""; echo ""; echo ""; echo ""; echo ""; echo ""; echo ""; echo ""; echo ""; echo ""; echo ""; echo ""; echo ""; echo "

Employment Information Request Submission
"; echo "First Name:	$fname_txt
"; echo "Last Name:	$lname_txt
"; echo "Home Phone:	$hphone_txt
"; echo "Cell Phone:	$cphone_txt
"; echo "E-Mail:	$email_txt
"; echo "US Citizen:	$uscitizen_rb
"; echo "Authorized to work:	$usauth_rb
"; echo "Available to work date:	$availdte_txt
"; echo "A past employee:	$pastemp_y
"; echo "A past employee when:	$whendte_txt
"; echo "Position applying for:	$pos_txt
"; echo "Experience:	$experience_stxt

"; } else if ($send == "no") { echo "$name_err"; echo "$email_err"; echo "$message_err"; echo "$form_block"; } } ?>

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All rights reserved. Last modified: November 27, 2019

Employment Information Request

Employment Information Request Submission