Here's the form after its final revision.

(Notice additions to automatically input menu choices into their neighboring text input fields
and the "Buzzwords" field to textarea action!!)

Last Name
First Name
Address
City
State Zip
Home Phone
Work Phone
Fax
eMail
U.S. Citizen
Degree
Graduation Date
School(s)

Paste Resume Here:
Category
Position(s) Looking for
 Level *

Add Your Level of Technical Experience:
*Level is calculated as follows: 1-3
(light)		 4-8
(medium)		 7+
(expert)
Buzzwords
 Level
 
Languages
 Level

Databases

 Level
Platforms
 Level
 
Total Experience
Current Employer
From  To 
Title
Salary  
Reason for leaving  
 
 

 

This was originally an entry form designed in JAVA, which only looked like this:

 

To see, the live version, visit the Attract Professional Staffing, Inc. website...