<?php
session_start();
$_SESSION['page'] = 'index.php'; // Set the current page the form is on.
// Check if new form or submitted one.
if($_POST) {
include_once("process.class.php");
$process = new Process($_POST);
require_once("formdisplay.class.php");
$form = new FormDisplay("grad");
}
else {
require_once("form.class.php");
$form = new Form();
}
if($_SESSION['error_array']) {
echo "<div style='clear: both; color: red; margin-bottom: 20px;'>Errors have been found with your application: <br />";
foreach($_SESSION['error_array'] as $k => $v) {
echo "* $k<br />";
}
echo "</div>";
}
// Start Document.
$content .= $form->text('
<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN"
"http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml" xml:lang="en" lang="en">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=ISO-8859-1" />
<title>Graduate Application For 2010--2011 ExCEL Scholarship</title>
<style type="text/css">
/* IF THIS DISPLAYS, PLEASE USE A NEWER BROWSER THAT RECOGNIZES style TAGS. */
body { margin: 1in; font-size: 14px; width: 8.5in }
input { margin: 0 5px 0 0px; }
label {padding: 0 5px 0 0px; }
.boxed { border: solid 1px }
img { padding: 3px; margin: 2px }
input[type="submit"] { text-align: center; margin: 0px auto; padding: 3px; display: block; cursor: pointer;}
</style>
</head>
<body>
');
$content .= $form->text("<form name='grad' action='sample.php' method='post'>");
$content .= $form->text("<h3 style='clear: both'>Autobiographical Information</h3>");
$content .= $form->createTextBox("Name: ", "name", $form->value("name"), 30, 200);
$sex = array("Male " => "male", "Female " => "female");
$content .= $form->createRadioButton($sex, "sex", $form->value("sex"));
$content .= $form->createTextBox("Born: Month: ", "birthmonth", $form->value("birthmonth"), 2, 2);
$content .= $form->createTextBox("Day: ", "birthday", $form->value("birthday"), 2, 2);
$content .= $form->createTextBox("Year: ", "birthyear", $form->value("birthyear"), 4, 4);
$content .= $form->linebreak();
$content .= $form->text("United States: ");
$citizen = array("Citizen or National " => "citizen", "Lawful Permanent Resident " => "resident");
$content .= $form->createRadioButton($citizen, "citizen", $form->value("citizen"));
$content .= $form->linebreak();
$content .= $form->text("Ethnic Background (Optional): ");
$ethnicity = array("Asian " => "asian", "African-American " => "african",
"Caucasian " => "caucasian", "Hispanic " => "hispanic",
"Multiracial " => "multiracial", "American Indian or Alaskan Native " => "indianalaskan",
"Puerto Rican " => "puertorican", "Native Hawaiian or Pacific Islander " => "pacific",
"Other " => "other",);
$content .= $form->createRadioButton($ethnicity, "ethnicity", $form->value("ethnicity"));
$content .= $form->linebreak();
$content .= $form->text("Permanent Address: ");
$content .= $form->createTextBox("Number and Street: ", "street", $form->value("street"), 70, 80);
$content .= $form->text("<br />");
$content .= $form->createTextBox("City: ", "city", $form->value("city"), 42, 42);
$content .= $form->createTextBox("State: ", "state", $form->value("state"), 2, 2);
$content .= $form->createTextBox("Zip: ", "zip", $form->value("zip"), 5, 5);
$content .= $form->linebreak();
$content .= $form->createTextBox("Home Phone: ", "homephone", $form->value("homephone"), 10, 15);
$content .= $form->createTextBox("Cell Phone: ", "cellphone", $form->value("cellphone"), 10, 15);
$content .= $form->createTextBox("E-mail address: ", "email", $form->value("email"), 40, 60);
$content .= $form->createSubmit("submitForm", "Submit Your Application");
$content .= $form->text("</form> ");
$content .= $form->text("</body> </html> ");
echo $form->finalizeForm($content);
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