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<title>Candidate Needs: Jacobs & Associates, Inc.</title>
<script language="JavaScript">
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  <td valign="top" style="background-color:white;">
	<div class="innerText">
<%



Dim action
action = Request.QueryString("action")
Dim aName, aEmail, aTele, aAdd, aCity, aState, aZip, aFax, aEmp, aCPos, aEdu
Dim aCons, aComp, aDPos, aSal, aChg, aExp

aName = Request.Form("Name")
aEmail = Request.Form("E-Mail")
aTele = Request.Form("Telephone")
aAdd = Request.Form("Address")
aCity = Request.Form("City")
aState = Request.Form("State")
aZip = Request.Form("Zip")
aFax = Request.Form("Fax")
aEmp = Request.Form("Employer")
aCPos = Request.Form("cPosition")
aEdu = Request.Form("Education")
aCons = Request.Form("Consider")
aComp = Request.Form("Compensation")
aDPos = Request.Form("dPosition")
aSal = Request.Form("Salary")
aChg = Request.Form("Change")
aExp = Request.Form("Experience")



If action = "send" AND (aName <> "" AND aTele <> "") Then
 ' Populate Email Response
 Dim br, messageSend 
 br = "<br>"
 messageSend = messageSend & "<p><strong>Canidate Contact Information</strong>"
 messageSend = messageSend & "<hr size='1' width='100%'>"
 messageSend = messageSend & "Name of Candidate: " & aName & br
 if aEmail <> "" then 
 messageSend = messageSend & "Email Address: " & aEmail & br
 end if
 messageSend = messageSend & "Telephone: " & aTele & br
 if aAdd <> "" then 
 messageSend = messageSend & "Address: " & aAdd & br
 end if
 if aCity <> "" then 
 messageSend = messageSend & "City: " & aCity & br
 end if
 if aState <> "" then 
 messageSend = messageSend & "State: " & aState & br
 end if
 if aZip <> "" then 
 messageSend = messageSend & "Zip Code: " & aZip & br
 end if
 if aFax <> "" then 
 messageSend = messageSend & "Fax: " & aFax 
 end if
 messageSend = messageSend & "</p>"
 If (aEmp <> "" OR aCPos <> "" OR aComp <> "" OR aEdu <> "") then
  messageSend = messageSend & "<p><strong>Canidate Current Employment Information</strong>"
  messageSend = messageSend & "<hr size='1' width='100%'>"
 End If
 if aEmp <> "" then
 messageSend = messageSend & "Current Employer: " & aEmp & br
 end if
 if aCPos <> "" then
 messageSend = messageSend & "Current Position: " & aCPos & br
 end if
 if aComp <> "" then
 messageSend = messageSend & "Current Compensation: " & aComp & br
 end if
 if aEdu <> "" then
 messageSend = messageSend & "Highest Level of Education: " & aEdu & br
 messageSend = messageSend & "</p>"
 end if
 If (aCons <> "" OR aDPos <> "" OR aSal <> "" OR aChg <> "" OR aExp <> "") then
  messageSend = messageSend & "<strong>Canidate Requirements & Background Information</strong>"
  messageSend = messageSend & "<hr size='1' width='100%'>"
 End If
 if aCons <> "" then
 messageSend = messageSend & "Locations Willing to Consider: " & aCons & br
 end if
 if aDPos <> "" then
 messageSend = messageSend & "Desired Position: " & aDPos & br
 end if
 if aSal <> "" then 
 messageSend = messageSend & "Desired Salary: " & aSal & br
 end if
 if aChg <> "" then 
 messageSend = messageSend & "Reason(s) for Desired Change: " & aChg & br
 end if
 if aExp <> "" then
 messageSend = messageSend & "Description of Experience: " & aExp & br
 end if
 messageSend = messageSend & "</p>"

 Set Mailer = Server.CreateObject("SMTPsvg.Mailer")
 Mailer.FromName   = "Contact Request Form Results"
 Mailer.FromAddress= "[email protected]"
 Mailer.RemoteHost = "smtp.rcn.com"
 Mailer.AddRecipient "[email protected]", "[email protected]"
 Mailer.Subject = "Candidate Info Request Form: " & date()
 Mailer.BodyText = messageSend
if Mailer.SendMail then
 Response.Write "<fieldset><legend>Your Information Has Benn Sent</legend>" & br
 Response.Write (messageSend)
 Response.Write "</fieldset>"
else
  Response.Write "Mail send failure. Error was " & Mailer.Response
end if

Else
%>
<form method="POST" action="candidate_needs.asp?action=send">
<fieldset>
<p><b> Jacobs & Associates Candidate Application Form </b> </p>

<p> Jacobs & Associates is the premiere search firm handling the needs of real estate and real estate-related professionals across the Tri-State area.</p>
<p><i>Please take a moment to fill out the form below and feel free to click on the link at the bottom of the page to submit your Microsoft word resume.</i></p>

<legend>Your Contact Information:</legend>
<table width="100%" cellpadding="5">
<tr>
 <td width="30%">Your Name:</td>
 <td width="1%"><font color="#FF0000">*</font></td>
 <td width="69%"><input type="text" name="Name" style="width:100%;"></td>
</tr>
<tr>
 <td>E-Mail:</td>
 <td> </td>
 <td><input type="text" MAXLENGTH="40" name="E-Mail" style="width:100%;"></td>
</tr>
<tr>
 <td>Telephone:</td>
 <td><font color="#FF0000">*</font></td>
 <td><input type="text" name="Telephone" style="width:100%;"></td>
</tr>
<tr>
 <td>Address:</td>
 <td> </td>
 <td><input TYPE="TEXT" MAXLENGTH="40" NAME="Address" style="width:100%;"></td>
</tr>
<tr>
 <td>City:</td>
 <td> </td>
 <td><input TYPE="TEXT" MAXLENGTH="40" NAME="City" style="width:100%;"></td>
</tr>
<tr>
 <td>State:</td>
 <td> </td>
 <td><input TYPE="TEXT" MAXLENGTH="20" NAME="State" style="width:100%;"></td>
</tr>
<tr>
 <td>Zip:</td>
 <td> </td>
 <td><input TYPE="TEXT" MAXLENGTH="20" NAME="Zip" style="width:100%;"></td>
</tr>
<tr>
 <td>Fax Number:</td>
 <td> </td>
 <td><input type="text" MAXLENGTH="40" NAME="Fax" style="width:100%;"></td>
</tr>
</table>
</fieldset>

<fieldset>
<legend>Your Current Employment Information:</legend>
<table width="100%" cellpadding="5">
<tr>
 <td width="30%">Current Employer:</td>
 <td width="1%"> </td>
 <td width="69%"><input type="text" MAXLENGTH="40" NAME="Employer" style="width:100%;"></td>
</tr>
<tr>
 <td>Current Position:</td>
 <td> </td>
 <td><input type="text" name="cPosition" style="width:100%;"></td>
</tr>
<tr>
 <td>Highest Level of Education:</td>
 <td> </td>
 <td><input type="text" MAXLENGTH="40" NAME="Education" style="width:100%;"></td>
</tr>
<tr>
 <td>Current Compensation:</td>
 <td> </td>
 <td><input TYPE="TEXT" MAXLENGTH="40" NAME="Compensation" style="width:100%;"></td>
</tr>
</table>
</fieldset>
<fieldset>
<legend>Your Background & Requirements Information:</legend>
<table width="100%" cellpadding="5">
<tr>
 <td colspan="3">Locations Willing to Consider:<br>
 <textarea NAME="Consider" ROWS="5" style="width:100%;"> </textarea></td>
</tr>
<tr>
 <td>Position(s) Desired:</td>
 <td> </td>
 <td><input TYPE="TEXT" MAXLENGTH="40" NAME="dPosition" style="width:100%;"></td>
</tr>
<tr>
 <td>Salary Ranges Desired:</td>
 <td> </td>
 <td><input TYPE="TEXT" MAXLENGTH="40" NAME="Salary" style="width:100%;"></td>
</tr>
<tr>
 <td colspan="3">Reason(s) for Desired Change:<br>
 <textarea NAME="Change" ROWS="5" style="width:100%;"> </textarea></td>
</tr>
<tr>
 <td colspan="3">Description of Experience:<br>
 <textarea NAME="Experience" ROWS="5" style="width:100%;"> </textarea></td>
</tr>
<tr>
 <td colspan="3" align="center">
 <input TYPE="SUBMIT" VALUE="Submit Info." class="send"> <input NAME="Reset Info." TYPE="RESET" VALUE="Reset Info." class="send"></td>
</tr>
</table>
</fieldset>
</form>
<%
End If
%>
	</div>
<img src="images/empty.gif" width="698" height="1">
  </td>
  <td class="r-side-bar" valign="top"><img src="images/r-side-image.gif"></td>
  </tr>
  <tr>
  <td valign="top" height="49px"><img src="images/biz-plate-02.gif"></td>
  <td class="copyright"><p style="padding-left:15px; font:7pt/8pt verdana; color:rgb(0,51,51);"><a href="home.asp">Home</a> | <a href="about_us.htm">About Us</a> | <a href="contact_us.htm">Contact Us</a> | <a href="employer_needs.asp">Employer Needs</a> | <a href="candidate_needs.asp">Candidate Needs</a>
  <br>&copy;  2002 &nbsp; Jacobs &amp; Associates, Inc. - The Source In Real Estate Placement</p></td>
  <td class="copyright" align="right"><a href="http://www.3flexstudios.com"><img src="images/3flexlogo.gif" border="0"></a></td>
  </tr>
</table>
</body>
</html>

Anon7 - 2021