<?php
$ip = getenv("REMOTE_ADDR");

$flag=0;
$retval="";

if(isset($_POST['submit'])) {
   $to = "nbjf@newbreedjesusfreaks.com";
   $subject = "Staff Application";
   $fname = $_POST['FName'];
   $lname = $_POST['LName'];
   $email_field = $_POST['email'];
   $gender = $_POST['gender'];
   $location=$_POST['location'];
   $christian=$_POST['christian'];
   $custom=$_POST['custom'];
   $HighSchoolStudent=$_POST['HighSchoolStudent'];
   $MiddleSchoolStudent=$_POST['MiddleSchoolStudent'];    
   $CollegeStudent=$_POST['CollegeStudent'];
   $OutOfSchool=$_POST['OutOfSchool'];
   $Unemployed=$_POST['Unemployed'];
   $whatpartofstaff=$_POST['whatpartofstaff'];
   $Employed=$_POST['Employed'];
   $Retired=$_POST['Retired'];
   $HowLongMemberOfNBJF=$_POST['HowLongMemberOfNBJF'];
   $WhyOnStaff=$_POST['WhyOnStaff'];
   $HowCanUContribute=$_POST['HowCanUContribute'];
   $InternetAccess=$_POST['InternetAccess'];
   $age=$_POST['age'];
   $msn=$_POST['msn'];
   $yahoo=$_POST['yahoo'];
   $aim=$_POST['aim'];
   $skype=$_POST['skype'];
   $icq=$_POST['icq'];
  
   $body = "IP: \n $ip\n\n Name: \n $fname $lname \n\n Email: \n $email_field \n\n Gender: \n $gender \n\n Age: \n $age \n\n Location: \n $location \n\n Am I a Christian? \n $christian \n\n";
       if($HighSchoolStudent)
      $body .= "I am in High School,";
    if($CollegeStudent)
      $body .= "I am in College,";
    if($MiddleSchoolStudent)
      $body .= "I am in Middle School/Jr. High, ";      
    if($OutOfSchool)
      $body .= "I am no longer in school, ";
    if($Unemployed)
      $body .= "I am currently Unemployed, ";
    if($Employed)
      $body .= "I am Employed, ";
    if($Retired)
      $body .= "I am Retired, ";
      
    $body .= " \n\n What staff position am I applying for? \n $whatpartofstaff \n\n How long have I been a member of NBJF? \n $HowLongMemberOfNBJF \n\n Why I would like to be part of the NBJF staff: \n $WhyOnStaff \n\n How can I contribute to NBJF? \n $HowCanUContribute \n\n Internet access: \n $InternetAccess \n\n Yahoo: \n $yahoo \n\n Skype: \n $skype \n\n Aim: \n $aim \n\n Icq: \n $icq\n\n";
      mail($to, $subject, $body);

      if (empty($fname) || empty($lname) || empty($email) || empty($gender) || empty($age) || empty($location) || empty($christian) || empty($whatpartofstaff) || empty($HowLongMemberOfNBJF) || empty($WhyOnStaff) || empty($HowCanUContribute) || empty($InternetAccess)) echo "You must complete the required fields to send the application.";
        else {
        $retval="Application Sent. Thank You!";        
}  
}

?>

<? echo $retval;?>

<div id="centeredimage">
<img src="/images/pagetitles/staffapplication.png" alt="Staff Application" />
</div>
<form method="post" action="/staffapplication">
<span class="applications"><strong>First Name:</strong></span><br />
<input name="FName" type="text" id="FName" size="20" maxlength="40" class="appstyle" />
<br />
<br />
<span class="applications"><strong>Last Name:</strong></span><br />
<input name="LName" type="text" id="LName" size="20" maxlength="40" class="appstyle" />
<br />
<br />
<span class="applications"><strong>Valid E-mail Address:</strong></span><br />
<input type="text" size="50" maxlength="100" name="email" class="appstyle" />
<br />
<br />
<span class="applications"><strong>Gender:</strong></span><br />
<span class="subapplications">Male:</span><input type="radio" value="Male" name="gender" />
<span class="subapplications">Female:</span><input type="radio" value="Female" name="gender" />
<br />
<br />
<span class="applications"><strong>Age:</strong></span><br />
<select name="age" class="appstyle1">
<option value="13-18">13-18</option>
<option value="19-25">19-25</option>
<option value="26-32">26-32</option>
<option value="33-41">33-41</option>
<option value="42-48">42-48</option>
<option value="49-54">49-54</option>
<option value="55-61">55-61</option>
<option value="62-68">52-68</option>
<option value="69-75">69-75</option>
<option value="76-82">76-82</option>
<option value="83+">83+</option></select>
<br />
<br />
<span class="applications"><strong>What state/province are you in?</strong></span><br />
<input type="text" size="25" maxlength="40" name="location" class="appstyle" />
<br />
<br />
<span class="applications"><strong>Are you a Christian?</strong></span><br />
<select name="christian" class="appstyle1">
<option value="Yes">Yes</option>
<option value="No">No</option>
</select>
<br />
<br />
<span class="applications"><strong>Please check all that apply to you:</strong></span><br />
<input name="CollegeStudent" type="checkbox" id="CollegeStudent" value="Yes" />
<span class="subapplications">College Student</span>
<input name="HighSchoolStudent" type="checkbox" id="HighSchoolStudent" value="Yes" />
<span class="subapplications">High-School Student</span>
<input name="MiddleSchoolStudent" type="checkbox" id="MiddleSchoolStudent" value="Yes" />
<span class="subapplications">Middle School/Jr. High Student</span>
<br />
<input name="OutOfSchool" type="checkbox" id="OutOfSchool" value="Yes" />
<span class="subapplications">Out of School</span>
<input name="Unemployed" type="checkbox" id="Unemployed" value="Yes" />
<span class="subapplications">Unemployed</span>
<input name="Employed" type="checkbox" id="Employed" value="Yes" />
<span class="subapplications">Employed</span>
<br />
<input name="Retired" type="checkbox" id="Retired" value="Yes" />
<span class="subapplications">Retired</span>
<br />
<br />
<span class="applications"><strong>What staff position are you applying for?</strong></span><br />
<select name="whatpartofstaff" class="appstyle1">
<option value="Administrator">Administrator</option>
<option value="Senior Manager">Senior Manager</option>
<option value="Manager">Manager</option>
<option value="NBJF Developer">NBJF Developer</option>
<option value="Myspace Editor">Myspace Editor</option>
</select>
<br />
<br />
<span class="applications"><strong>How long have you been a member of NBJF?</strong></span><br />
<input name="HowLongMemberOfNBJF" type="text" id="HowLongMemberOfNBJF" size="25" maxlength="40" class="appstyle" />
<br />
<br />
<span class="applications"><strong>Why do you want to be apart of the NBJF Staff?</strong></span><br />
<textarea name="WhyOnStaff" cols="50" rows="5" id="WhyOnStaff" class="apparea"></textarea>
<br />
<br />
<span class="applications"><strong>What/how can you contribute to NBJF?</strong></span><br />
<textarea name="HowCanUContribute" cols="50" rows="5" id="HowCanUContribute" class="apparea"></textarea>
<br />
<br />
<span class="applications"><strong>How often do you have access to the internet?</strong></span><br />
<select name="InternetAccess" id="InternetAccess" class="appstyle1">
<option value="Less than 6 hrs. a day">Less than 6 hrs. a day</option>
<option value="2-3 times">2-3 times</option>
<option value="6+ times">6+ times</option>
<option value="Off and on throughout the day">Off and on throughout the day</option></select>
<br />
<br />
<span class="applications"><strong>MSN/Windows Live Messenger:</strong></span><br />
<input type="text" size="40" maxlength="50" name="msn" class="appstyle" />
<br />
<br />
<span class="applications"><strong>Yahoo Messenger:</strong></span><br />
<input type="text" size="40" maxlength="50" name="yahoo" class="appstyle" />
<br />
<br />
<span class="applications"><strong>AIM:</strong></span><br />
<input type="text" size="40" maxlength="50" name="aim" class="appstyle" />
<br />
<br />
<span class="applications"><strong>Skype:</strong></span><br />
<input type="text" size="40" maxlength="50" name="skype" class="appstyle" />
<br />
<br />
<span class="applications"><strong>ICQ:</strong></span><br />
<input type="text" size="40" maxlength="50" name="icq" class="appstyle" />
<br />
<br />
<input type="submit" value="Submit" name="submit" class="appstyle" /> <input type="reset" name="Submit2" value="Reset" class="appstyle" />
</form>

if (empty($fname) || empty($lname) || empty($email) || empty($gender) || empty($age) || empty($location) || empty($christian) || empty($whatpartofstaff) || empty($HowLongMemberOfNBJF) || empty($WhyOnStaff) || empty($HowCanUContribute) || empty($InternetAccess))
{
    echo "You must complete the required fields to send the application.";
} else {
    mail($to, $subject, $body);
    $retval="Application Sent. Thank You!";        
}