Need help with a PHP Employment Application Snippet

TimUSA · April 11, 2008

Hello all. I would normally never do this, but i need some help finishing this code. I just took a new job opening a new nightclub and I am providing the ability to apply for positions online. Unfortunately I am way behind the 8-ball on everything else I have to accomplish to fiinsh this code. I need to add format error checking for each form field, and also need to have it set so the user must select from the drop down boxes, and must fill out at least one employment reference. I have a good start on this, but really need a pro's help to make this fool proof and secure. Anyone care to tackle this?

global $scripturl;

echo'
<style type="text/css">
#formfield
{
	width:90%;
	border: solid 1px;
	padding:25px;
}
</style>	
<h2 style="color: #EB0105;">The Ottawa Tavern, Inc Express Application</h2>';

function application()
{
$date = date("Y/m/d");
echo'
<form action="'.$scripturl.'?page=7'.$get['page'].'" method="post">
<input name="application" type="hidden" value="TRUE" />
	<h3>Personal Information</h3>
	<div id="formfield">
		Date:<br>
		<input type="text" name="date" READONLY value="' . $date . '" /><hr>
		Last Name:<br>
		<input type="text" size="50"name="last" value="'.$_POST['last'].'" /><br> 
		First Name:<br>
		<input type="text" size="50"name="first"value="'.$_POST['first'].'" />
	</div>
	<br>
	<div id="formfield">
		<div style="padding-right:15px; float:left;">
		Street Address:<br>
		<input type="text" name="street" value="'.$_POST['street'].'" /><br>
		City:<br>
		<input type="text" name="city" value="'.$_POST['city'].'" /><br>
		State:<br>
		<input type="text" name="state" value="'.$_POST['state'].'" /><br>
		</div>
		<div style="float:left;">
		Zip Code:<br>
		<input type="text" name="zip" value="'.$_POST['zip'].'" /><br>
		Telephone:<br>
		<input type="text" name="phone" value="'.$_POST['phone'].'" /><br>
		Email:<br>
		<input type="text" name="email" value="'.$_POST['email'].'" /><br>
		</div>
		<br style="clear:both;">
	</div>
	<br>
	<div id="formfield">
		Position applied for:<br>
		<input type="text" name="position" value="'.$_POST['position'].'" /><br>
		Salary desired:<br>
		<input type="text" name="salary" value="'.$_POST['salary'].'" />
		<hr>
		Are you of legal age to serve alcohol:<br>
		<select name="age">
			<option value="NA" SELECTED>No Answer</option>
			<option value="Yes">Yes</option>
			<option value="No">No</option>
		</select>
		<hr>
		I can work nights and weekends:<br>
		<select name="avail1">
			<option value="NA" SELECTED>No Answer</option>
			<option value="Yes">Yes</option>
			<option value="No">No</option>
		</select>
		<hr>
		I am available for...<br>
		<select name="avail2">
			<option value="NA" SELECTED>No Answer</option>
			<option value="Full-Time">Full-Time</option>
			<option value="Part-Time">Part-Time</option>
		</select>
		<hr>
		Have you ever been convicted of a crime:<br>
		<select name="crime">
			<option value="NA" SELECTED>No Answer</option>
			<option value="Yes">Yes</option>
			<option value="No">No</option>
		</select>
		<hr>
		Do you have a valid drivers license:<br>
		<select name="license">
			<option value="NA" SELECTED>No Answer</option>
			<option value="Yes">Yes</option>
			<option value="No">No</option>
		</select>
	</div>
	<h3>Employment References</h3>
	<div id="formfield">
	<h4>Employer #1</h4>
		<div style="padding-right:5px; float:left;">
		Name of employer:<br>
		<input type="text" name="emp1" value="'.$_POST['emp1'].'" />
		</div>
		<div style="padding-right:5px; float:left;">
		Address:<br>
		<input type="text" size="80"name="emp1add" value="'.$_POST['emp1add'].'" />
		</div>
		<div style="float:left;">
		Phone:<br>
		<input type="text" name="emp1phone" value="'.$_POST['emp1phone'].'" />
		</div>
		<br style="clear:both;">
		<div style="padding-right:5px; float:left;">
		Start date:<br>
		<input type="text" name="emp1start" value="'.$_POST['emp1start'].'" />
		</div>
		<div style="padding-right:5px; float:left;">
		End date:<br>
		<input type="text" name="emp1end" value="'.$_POST['emp1end'].'" />
		</div>
		<div style="padding-right:5px; float:left;">
		Title:<br> 
		<input type="text" name="emp1title" value="'.$_POST['emp1title'].'" />
		</div>
		<div style="padding-right:5px; float:left;">
		Supervisor:<br>
		<input type="text" name="emp1sup" value="'.$_POST['emp1sup'].'" />
		</div>
		<br style="clear:both;">
		<div style="padding-right:5px; float:left;">
		Reason for leaving:<br>
		<input type="text" size="80" name="emp1reason" value="'.$_POST['emp1reason'].'" />
		</div>
		<br style="clear:both;">
	</div>
	<br>
	<div id="formfield">
		<h4>Employer #2</h4>
		<div style="padding-right:5px; float:left;">
		Name of employer:<br>
		<input type="text" name="emp2" value="'.$_POST['emp2'].'" />
		</div>
		<div style="padding-right:5px; float:left;">
		Address:<br>
		<input type="text" size="80"name="emp2add" value="'.$_POST['emp2add'].'" />
		</div>
		<div style="float:left;">
		Phone:<br>
		<input type="text" name="emp2phone" value="'.$_POST['emp2phone'].'" />
		</div>
		<br style="clear:both;">
		<div style="padding-right:5px; float:left;">
		Start date:<br>
		<input type="text" name="emp2start" value="'.$_POST['emp2start'].'" />
		</div>
		<div style="padding-right:5px; float:left;">
		End date:<br>
		<input type="text" name="emp2end" value="'.$_POST['emp2end'].'" />
		</div>
		<div style="padding-right:5px; float:left;">
		Title:<br> 
		<input type="text" name="emp2title" value="'.$_POST['emp2title'].'" />
		</div>
		<div style="padding-right:5px; float:left;">
		Supervisor:<br>
		<input type="text" name="emp2sup" value="'.$_POST['emp2sup'].'" />
		</div>
		<br style="clear:both;">
		<div style="padding-right:5px; float:left;">
		Reason for leaving:<br>
		<input type="text" size="80" name="emp2reason" value="'.$_POST['emp2reason'].'" />
		</div>
		<br style="clear:both;">
	</div>
	<br>
	<div id="formfield">
		<h4>Employer #3</h4>
		<div style="padding-right:5px; float:left;">
		Name of employer:<br>
		<input type="text" name="emp3" value="'.$_POST['emp3'].'" />
		</div>
		<div style="padding-right:5px; float:left;">
		Address:<br>
		<input type="text" size="80"name="emp3add" value="'.$_POST['emp3add'].'" />
		</div>
		<div style="float:left;">
		Phone:<br>
		<input type="text" name="emp3phone" value="'.$_POST['emp3phone'].'" />
		</div>
		<br style="clear:both;">
		<div style="padding-right:5px; float:left;">
		Start date:<br>
		<input type="text" name="emp3start" value="'.$_POST['emp3start'].'" />
		</div>
		<div style="padding-right:5px; float:left;">
		End date:<br>
		<input type="text" name="emp3end" value="'.$_POST['emp3end'].'" />
		</div>
		<div style="padding-right:5px; float:left;">
		Title:<br> 
		<input type="text" name="emp3title" value="'.$_POST['emp3title'].'" />
		</div>
		<div style="padding-right:5px; float:left;">
		Supervisor:<br>
		<input type="text" name="emp3sup" value="'.$_POST['emp3sup'].'" />
		</div>
		<br style="clear:both;">
		<div style="padding-right:5px; float:left;">
		Reason for leaving:<br>
		<input type="text" size="80" name="emp3reason" value="'.$_POST['emp3reason'].'" />
		</div>
		<br style="clear:both;">
	</div>
	<br>
	<div id="formfield">
		<input type="submit" value="submit" style="padding-right:5px;" />
		<input type="reset" value="reset" />
	</div>
</form>';
}


if (!isset($_POST['application']))
{
application();
}
else
{
if (isset($_POST['application']))
{
	$process = true;
	//check format personal information
	if (!ereg("[A-Za-z' -]{1,50}", $_POST['last'])) 
	{
	echo'
	One or more fields have information that appears to be incorrect. Last Name: '.$_POST['last'].'<br>';
	$process = false;
	}
	if (!ereg("[A-Za-z' -]{1,50}", $_POST['first'])) 
	{
	echo'
	One or more fields have information that appears to be incorrect. First Name: '.$_POST['first'].'<br>';
	$process = false;
	}
	if (!ereg("[A-Za-z' -]{1,50}", $_POST['city'])) 
	{
	echo'
	One or more fields have information that appears to be incorrect. City: '.$_POST['city'].'<br>';
	$process = false;
	}
	if (!ereg("[A-Za-z' -]{1,50}", $_POST['state'])) 
	{
	echo'
	One or more fields have information that appears to be incorrect. State: '.$_POST['state'].'<br>';
	$process = false;
	}
	if (!ereg("[^0-9]",$_POST['zip'])) 
	{
	echo'
	One or more fields have information that appears to be incorrect. Zip: '.$_POST['zip'].'<br>';
	$process = false;
	}
	if (!ereg("[^0-9]",$_POST['phone'])) 
	{
	echo'
	One or more fields have information that appears to be incorrect. Phone: '.$_POST['phone'].'<br>';
	$process = false;
	}
	$pattern = "^[_a-z0-9-]+(\.[_a-z0-9-]+)*@[a-z0-9-]+(\.[a-z0-9-]+)*(\.[a-z]{2,3})$";
      	if (!eregi($pattern, $_POST['email']))
	{
         echo "You entered an invalid e-mail address<br>";
         $process = false;
      	}
      	
      	if ($process == false)
      	{
		application();
	}
      	
      	if ($process == true)
      	{
		$sendto = "[email protected]";
		$subject = 'An application for employment has been made by '.$_POST['first'].' '.$_POST['last'];
		$body = '
		An application for employment has been made by '.$_POST['first'].' '.$_POST['last'].'
		Street: '.$_POST['street'].' City: '.$_POST['city'].' State: '.$_POST['state'].' Zip: '.$_POST['zip'].'
		Phone: '.$_POST['phone'].'
		Email: '.$_POST['email'].'
		Position: '.$_POST['position'].'
		Salary: '.$_POST['salary'].'
		Alcohol Service: '.$_POST['age'].'
		Nights and Weekends: '.$_POST['avail1'].'
		Availability: '.$_POST['avail2'].'
		Crime: '.$_POST['crime'].'

		---Employment Information---
		Empoyer 2: '.$_POST['emp1'].'
		Address: '.$_POST['emp1add'].'
		Phone: '.$_POST['emp1phone'].'
		Start: '.$_POST['emp1start'].'
		End: '.$_POST['emp1end'].'

		Title: '.$_POST['emp1title'].'
		Supervisor: '.$_POST['emp1sup'].'
		Reason for leaving:
		'.$_POST['emp1reason'].'

		---Employment Information---
		Empoyer 3: '.$_POST['emp2'].'
		Address: '.$_POST['emp2add'].'
		Phone: '.$_POST['emp2phone'].'
		Start: '.$_POST['emp2start'].'
		End: '.$_POST['emp2end'].'

		Title: '.$_POST['emp2title'].'
		Supervisor: '.$_POST['emp2sup'].'
		Reason for leaving:
		'.$_POST['emp2reason'].'

		---Employment Information---
		Empoyer 1: '.$_POST['emp3'].'
		Address: '.$_POST['emp3add'].'
		Phone: '.$_POST['emp3phone'].'
		Start: '.$_POST['emp3start'].'
		End: '.$_POST['emp3end'].'

		Title: '.$_POST['emp3title'].'
		Supervisor: '.$_POST['emp3sup'].'
		Reason for leaving:
		'.$_POST['emp3reason'];

		mail($sendto,$subject,$body);

		echo'
		Thank you for your application. We will be contacting you soon.<br>
		This is an express application. If you are contacted for an interview, you will be required to fill out a complete written application.<br>';
	}
}
}

TimUSA · April 11, 2008

sorry about the double post. was an accident.

GingerRobot · April 11, 2008

So you thought you'd bump your post instead? Smooth...

Anyways, if you want someone to do this for you, you'd be better off heading over to the freelance forum.

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Need help with a PHP Employment Application Snippet

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