Employment Application

<% if Request.Querystring("isSubmitted") = "yes" then Dim name1, address1, address21, country1, zip1, phone1, email1, area1, experience1, resume1 Dim objCDO name1 = Request.Querystring("name") address1 = Request.Querystring("address") address21 = Request.Querystring("address2") state1 = Request.Querystring("state") country1 = Request.Querystring("country") zip1 = Request.Querystring("zip") phone1 = Request.Querystring("phone") email1 = Request.Querystring("email") area1 = Request.Querystring("area") experience1 = Request.Querystring("experience") resume1 = Request.Querystring("resume") Set objCDO = Server.CreateObject("CDONTS.NewMail") objCDO.From = "form@fastabend.com" objCDO.To = "sarahf@fastabend.com" objCDO.Cc = "" objCDO.Bcc = "" objCDO.Subject = "Employment Application for Information Services" objCDO.Body = "Name: " & name1 & " Address: "& address1 & address2 & " state: " & state1 & " country: " & country1 & " zip: " & zip1 & " phone: " & phone1 & " email: " & email1 & " area: " & area1 & " experience: " & experience1 & " resume: " & resume1 objCDO.BodyFormat = 1 objCDO.MailFormat = 1 objCDO.Send ConfirmMsg = "Thank you for your application" end if %> Employment Application

Employment Application

Home>>Careers>>Opportunities>>Information Services Application

Please fill out all the fields below. You are required to fill out all fields or your application will be automatically rejected. If you are interested in positions in more than one area, please submit an application for each desired area. Once all information has been provided, please click submit.

Name:

Street Address:

Street Address 2:

State:

Country:

Zip Code:

Phone:

Email:

Area of interest in company:

Description of relevant experience:

Resume:

<% if ConfirmMsg <> "" then %> <%= ConfirmMsg %> <% end if %>

Fastabend
3741 Walnut Street
PMB 192
Philadelphia, PA 19104