Now it may not be the
Wizard of Oz however GoDaddy can provide a variety of flying monkeys. The most recent I have come across is preventing emails with attachments processed in Formit from sending the attached file thru.
I have tested the form and the setup in our development environment (It works fine) so I know the issue is with GoDaddy...and unfortunately the client is insisting that it stays there.
So here is the form:
[[!FormIt?
&hooks=`email,FormSave, redirect`
&submitVar=`submit`
&store=`1`
&emailTpl=`join-team-email`
&emailFrom=`[email protected]`
&emailTo=`[email protected]`
&emailSubject=`New Job Submission`
&fsFormTopic=`job application`
&redirectTo=`352`
&validate=`fName:required, lName:required, address:required, city:required, state:required, zip:isNumber:required, phone1:required, empName1:required, phonea1:required, lastSup1:required`
]]
[[!+fi.error_message:notempty=`<p>[[!+fi.error_message]]</p>`]]
<form action="[[~[[*id]]]]" method="post" class="form form-4" enctype="multipart/form-data">
<fieldset>
<div class="row"><span class="error">[[!+fi.error.position]]</span></div>
<div class="row">
<label for="position" class="label-189">Position Applied for:</label>
<input type="text" name="position" id="position" value="[[+fi.position]]" class="text-665">
</div>
<div class="row"><span class="error">[[!+fi.error.fName]]</span><span class="error">[[!+fi.error.mName]]</span></div>
<div class="row">
<label for="fName" class="label-189">First Name:</label>
<input type="text" name="fName" id="fName" value="[[!+fi.fName]]" class="text-281">
<label for="mName" class="label-130">Middle Name:</label>
<input type="text" name="mName" id="mName" value="[[!+fi.mName]]" class="text-245">
</div>
<div class="row"><span class="error">[[!+fi.error.lName]]</span></div>
<div class="row">
<label for="lName" class="label-189">Last Name:</label>
<input type="text" name="lName" id="lName" value="[[!+fi.lName]]" class="text-665">
</div>
<div class="row"><span class="error">[[!+fi.error.address]]</span></div>
<div class="row">
<label for="address" class="label-189">Address:</label>
<input type="text" name="address" id="address" value="[[!+fi.address]]" class="text-665">
</div>
<div class="row"><span class="error">[[!+fi.error.city]]</span><span class="error">[[!+fi.error.state]]</span><span class="error">[[!+fi.error.zip]]</span></div>
<div class="row">
<label for="city" class="label-189">City:</label>
<input type="text" name="city" id="city" value="[[!+fi.city]]" class="text-281">
<label for="state" class="label-59">State:</label>
<input type="text" name="state" id="state" value="[[!+fi.state]]" class="text-62">
<label for="zip" class="label-88">Zip Code:</label>
<input type="text" name="zip" id="zip" value="[[!+fi.zip]]" class="text-156">
</div>
<div class="row"><span class="error">[[!+fi.error.phone1]]</span><span class="error">[[!+fi.error.phone2]]</span></div>
<div class="row">
<label for="phone1" class="label-189">Day Phone:</label>
<input type="text" name="phone1" id="phone1" value="[[!+fi.phone1]]" class="text-178" placeholder="XXX-XXX-XXXX">
<label for="phone2" class="label-189">Evening Phone:</label>
<input type="text" name="phone2" id="phone2" value="[[!+fi.phone2]]" class="text-178" placeholder="XXX-XXX-XXXX">
</div>
<div class="row">
<label>How Did You Hear About Us?:</label>
</div>
<div class="radio-block">
<div class="col">
<div class="inner-row">
<input type="radio" name="referral[]" id="advertisement" value="advertisement" [[!+fi.referral:FormItIsChecked=`advertisement`]]>
<label for="advertisement">Advertisement</label>
</div>
<div class="inner-row">
<input type="radio" name="referral[]" id="walkin" value="walkin" [[!+fi.referral:FormItIsChecked=`walkin`]]>
<label for="walkin">Walk-In</label>
</div>
<div class="inner-row">
<input type="radio" name="referral[]" id="relative" value="relative" [[!+fi.referral:FormItIsChecked=`relative`]]>
<label for="relative">Relative</label>
</div>
</div>
<div class="col">
<div class="inner-row">
<input type="radio" name="referral[]" id="friend" value="friend" [[!+fi.referral:FormItIsChecked=`friend`]]>
<label for="friend">Friend</label>
</div>
<div class="inner-row">
<input type="radio" name="referral[]" id="eAgency" value="eAgency" [[!+fi.referral:FormItIsChecked=`eAgency`]]>
<label for="eAgency">Employment Agency</label>
</div>
<div class="inner-row long-row">
<input type="radio" name="referral[]" id="other" value="other" [[!+fi.referral:FormItIsChecked=`other`]]>
<label for="other">Other:</label>
<input type="text" name="otherText" id="otherText" value="[[!+fi.otherText]]" class="other" >
</div>
</div>
</div>
<div class="row"><span class="error">[[!+fi.error.employeed]]</span></div>
<div class="row">
<label>Are you currently employed?: </label>
<div class="radio-col">
<input type="radio" name="employed[]" id="employedYes" value="yes" [[!+fi.employed:FormItIsChecked=`yes`]]>
<label for="employedYes">Yes</label>
<input type="radio" name="employed[]" id="employedNo" value="no" [[!+fi.employed:FormItIsChecked=`no`]]>
<label for="employedNo">No</label>
</div>
</div>
<div class="row"><span class="error">[[!+fi.error.cEmployer]]</span></div>
<div class="row">
<label>May we contact your present employer?</label>
<div class="radio-col">
<input type="radio" name="cEmployer[]" id="cEYes" value="yes" [[!+fi.cEmployer:FormItIsChecked=`yes`]]>
<label for="cEYes">Yes</label>
<input type="radio" name="cEmployer[]" id="cENo" value="no" [[!+fi.cEmployer:FormItIsChecked=`no`]]>
<label for="cENo">No</label>
</div>
</div>
<div class="row"><span class="error">[[!+fi.error.over18]]</span></div>
<div class="row">
<label>Are you 18 years or older?</label>
<div class="radio-col">
<input type="radio" name="over18[]" id="18Yes" value="yes" [[!+fi.over18:FormItIsChecked=`yes`]]>
<label for="18Yes">Yes</label>
<input type="radio" name="over18[]" id="18No" value="no" [[!+fi.over18:FormItIsChecked=`no`]]>
<label for="18No">No</label>
</div>
</div>
<div class="row"><span class="error">[[!+fi.error.pEmployed]]</span></div>
<div class="row last">
<label>Are you prevented from lawfully becoming employed in this<br />country due to Visa or Immigration Status?</label>
<div class="radio-col">
<input type="radio" name="pEmployed[]" id="pEmployedYes" value="yes" [[!+fi.pEmployed:FormItIsChecked=`yes`]]>
<label for="pEmployedYes">Yes</label>
<input type="radio" name="pEmployed[]" id="pEmployedNo" value="no" [[!+fi.pEmployed:FormItIsChecked=`yes`]]>
<label for="pEmployedNo">No</label>
</div>
</div>
<div class="row"><span class="error">[[!+fi.error.aWork]]</span></div>
<div class="row">
<label>You are available to work:</label>
<div class="radio-holder">
<input type="radio" name="aWork[]" id="aWorkFull" value="Full Time" [[!+fi.aWork:FormItIsChecked=`Full Time`]]>
<label for="aWorkFull">Full Time</label>
<input type="radio" name="aWork[]" id="aWorkPart" value="Part Time" [[!+fi.aWork:FormItIsChecked=`Part Time`]]>
<label for="aWorkPart">Part Time</label>
<input type="radio" name="aWork[]" id="aWorkTemp" value="Temporary" [[!+fi.aWork:FormItIsChecked=`Temporary`]]>
<label for="aWorkTemp">Temporary</label>
</div>
</div>
<div class="row"><span class="error">[[!+fi.error.workDate]]</span></div>
<div class="row">
<label for="id-134" class="label-235">Date you can Begin Work:</label>
<input type="text" name="workDate" id="workDate" value="[[!+fi.workDate]]" class="text-145">
</div>
<div class="row"><span class="error">[[!+fi.error.convicted]]</span></div>
<div class="row last">
<label>Have you been convicted of a crime within the last seven (7) years?<br /><em>(Conviction will not necessarily disqualify an applicant from employment)</em></label>
<div class="radio-col">
<input type="radio" name="convicted[]" id="conYes" value="yes" [[!+fi.convicted:FormItIsChecked=`yes`]]>
<label for="conYes">Yes</label>
<input type="radio" name="convicted[]" id="conNo" value="no" [[!+fi.convicted:FormItIsChecked=`no`]]>
<label for="conNo">No</label>
</div>
</div>
<div class="row"><span class="error">[[!+fi.error.conExplain]]</span></div>
<div class="area-row">
<label for="conExplain">If Yes, Please Explain:</label>
<textarea name="conExplain" id="conExplain" value="[[!+fi.conExplain]]" cols="30" rows="10"></textarea>
</div>
<div class="btn-row">
<button class="reset" type="reset">reset</button>
<a href="#tab-2" class="cont switch-tab" name="continue"><span>CONTINUE</span></a>
</div>
</fieldset>
<!--</form>-->
</div>
<div class="tab" id="tab-2">
<!--<form action="[[~[[*id]]]]" class="form" method="post" enctype="multipart/form-data">-->
<fieldset class="form">
<div class="resume-row">
<label>Resume:</label>
<input type="file" name="resume" value="[[!+fi.resume]]" />
</div>
<ul class="job-list">
<li>
<div class="opener-row">
<input id="addJob1" type="checkbox" checked="checked">
<label for="addJob1">Add a Past Job</label>
</div>
<div class="slide">
<div class="row"><span class="error">[[!+fi.error.empName1]]</span></div>
<div class="row">
<label for="empName1">Name of Employer:</label>
<input type="text" class="text-592" name="empName1" id="empName1" value="[[!+fi.empName1]]">
</div>
<div class="row"><span class="error">[[!+fi.error.address1]]</span><span class="error">[[+fi.error.state1]]</span><span class="error">[[+fi.error.zip1]]</span></div>
<div class="row">
<label for="address1">Address:</label>
<input type="text" class="text-208" name="address1" id="address1" value="[[!+fi.address1]]">
<label for="state1" class="label-1">State:</label>
<input type="text" class="text-62" name="state1" id="state1" value="[[!+fi.state1]]">
<label for="zip1" class="label-2">Zip Code:</label>
<input type="text" class="text-156" name="zip1" id="zip1" value="[[!+fi.zip1]]">
</div>
<div class="row"><span class="error">[[!+fi.error.phonea1]]</span> <span class="error">[[!+fi.error.phoneb1]]</span> </div>
<div class="row">
<label for="phonea1">Phone Number(s):</label>
<input type="text" class="text-208" name="phonea1" id="phonea1" value="[[!+fi.phonea1]]" placeholder="XXX-XXX-XXXX">
<input type="text" class="text-208" name="phoneb1" id="phoneb1" value="[[!+fi.phoneb1]]" placeholder="XXX-XXX-XXXX">
</div>
<div class="row"><span class="error">[[!+fi.error.lastSup1]]</span></div>
<div class="row">
<label for="lastSup1">Name of Last Supervisor:</label>
<input type="text" class="text-592" name="lastSup1" id="lastSup1" value="[[!+fi.lastSup1]]">
</div>
<div class="row"><span class="error">[[!+fi.error.eDateFrom1]]</span><span class="error">[[!+fi.error.eDateTo1]]</span></div>
<div class="row">
<label for="eDateFrom1">Employment Dates: <span>From:</span></label>
<input type="text" class="text-208" name="eDateFrom1" id="eDateFrom1" value="[[!+fi.eDateFrom1]]">
<label for="eDateTo1" class="label-1">To:</label>
<input type="text" class="text-208" name="eDateTo1" id="eDateTo1" value="[[!+fi.eDateTo1]]">
</div>
<div class="row"><span class="error">[[!+fi.error.salStart1]]</span><span class="error">[[!+fi.error.salFinal1]]</span></div>
<div class="row">
<label for="salStart1">Pay or Salary: <span>Start:</span></label>
<input type="text" class="text-208" name="salStart1" id="salStart1" value="[[!+fi.salStart1]]">
<label for="salFinal1" class="label-1">Final:</label>
<input type="text" class="text-208" name="salFinal1" id="salFinal1" value="[[!+fi.salFinal1]]">
</div>
<div class="row"><span class="error">[[!+fi.error.lastTitle1]]</span></div>
<div class="row">
<label for="lastTitle1">Your last Job Title:</label>
<input type="text" class="text-592" name="lastTitle1" id="lastTitle1" value="[[!+fi.lastTitle1]]">
</div>
<div class="row"><span class="error">[[!+fi.error.reason1]]</span></div>
<div class="row">
<label for="reason1">Reason for leaving <em>(be specific):</em></label>
<input type="text" class="text-592" name="reason1" id="reason1" value="[[!+fi.reason1]]">
</div>
<div class="row"><span class="error">[[!+fi.error.summary1]]</span></div>
<div class="area-row">
<label for="summary1">List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.</label>
<textarea name="summary1" id="summary1" value="[[!+fi.summary1]]" cols="30" rows="10"></textarea>
</div>
</div>
</li>
<li>
<div class="opener-row">
<input id="addJob2" type="checkbox" checked="checked">
<label for="addJob2">Add a Past Job</label>
</div>
<div class="slide">
<div class="row"><span class="error">[[!+fi.error.empName2]]</span></div>
<div class="row">
<label for="empName2">Name of Employer:</label>
<input type="text" class="text-592" name="empName2" id="empName2" value="[[!+fi.empName1]]">
</div>
<div class="row"><span class="error">[[!+fi.error.address1]]</span><span class="error">[[+fi.error.state1]]</span><span class="error">[[+fi.error.zip2]]</span></div>
<div class="row">
<label for="address2">Address:</label>
<input type="text" class="text-208" name="address2" id="address2" value="[[!+fi.address2]]">
<label for="state2" class="label-1">State:</label>
<input type="text" class="text-62" name="state2" id="state2" value="[[!+fi.state2]]">
<label for="zip2" class="label-2">Zip Code:</label>
<input type="text" class="text-156" name="zip2" id="zip2" value="[[!+fi.zip2]]">
</div>
<div class="row"><span class="error">[[!+fi.error.phonea2]]</span> <span class="error">[[!+fi.error.phoneb2]]</span> </div>
<div class="row">
<label for="phonea2">Phone Number(s):</label>
<input type="text" class="text-208" name="phonea2" id="phonea2" value="[[!+fi.phonea2]]" placeholder="XXX-XXX-XXXX">
<input type="text" class="text-208" name="phoneb2" id="phoneb2" value="[[!+fi.phoneb2]]" placeholder="XXX-XXX-XXXX">
</div>
<div class="row"><span class="error">[[!+fi.error.lastSup2]]</span></div>
<div class="row">
<label for="lastSup2">Name of Last Supervisor:</label>
<input type="text" class="text-592" name="lastSup2" id="lastSup2" value="[[!+fi.lastSup2]]">
</div>
<div class="row"><span class="error">[[!+fi.error.eDateFrom2]]</span><span class="error">[[!+fi.error.eDateTo2]]</span></div>
<div class="row">
<label for="eDateFrom2">Employment Dates: <span>From:</span></label>
<input type="text" class="text-208" name="eDateFrom2" id="eDateFrom2" value="[[!+fi.eDateFrom2]]">
<label for="eDateTo2" class="label-1">To:</label>
<input type="text" class="text-208" name="eDateTo2" id="eDateTo2" value="[[!+fi.eDateTo2]]">
</div>
<div class="row"><span class="error">[[!+fi.error.salStart2]]</span><span class="error">[[!+fi.error.salFinal2]]</span></div>
<div class="row">
<label for="salStart2">Pay or Salary: <span>Start:</span></label>
<input type="text" class="text-208" name="salStart2" id="salStart2" value="[[!+fi.salStart2]]">
<label for="salFinal2" class="label-1">Final:</label>
<input type="text" class="text-208" name="salFinal2" id="salFinal2" value="[[!+fi.salFinal2]]">
</div>
<div class="row"><span class="error">[[!+fi.error.lastTitle2]]</span></div>
<div class="row">
<label for="lastTitle2">Your last Job Title:</label>
<input type="text" class="text-592" name="lastTitle2" id="lastTitle2" value="[[!+fi.lastTitle2]]">
</div>
<div class="row"><span class="error">[[!+fi.error.reason2]]</span></div>
<div class="row">
<label for="reason2">Reason for leaving <em>(be specific):</em></label>
<input type="text" class="text-592" name="reason2" id="reason2" value="[[!+fi.reason2]]">
</div>
<div class="row"><span class="error">[[!+fi.error.summary2]]</span></div>
<div class="area-row">
<label for="summary2">List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.</label>
<textarea name="summary2" id="summary2" value="[[!+fi.summary2]]" cols="30" rows="10"></textarea>
</div>
</div>
</li>
<li>
<div class="opener-row">
<input id="addJob3" type="checkbox" checked="checked">
<label for="addJob3">Add a Past Job</label>
</div>
<div class="slide">
<div class="row"><span class="error">[[!+fi.error.empName3]]</span></div>
<div class="row">
<label for="empName3">Name of Employer:</label>
<input type="text" class="text-592" name="empName3" id="empName3" value="[[!+fi.empName3]]">
</div>
<div class="row"><span class="error">[[!+fi.error.address3]]</span><span class="error">[[+fi.error.state3]]</span><span class="error">[[+fi.error.zip3]]</span></div>
<div class="row">
<label for="address3">Address:</label>
<input type="text" class="text-208" name="address3" id="address3" value="[[!+fi.address3]]">
<label for="state3" class="label-1">State:</label>
<input type="text" class="text-62" name="state3" id="state3" value="[[!+fi.state3]]">
<label for="zip3" class="label-2">Zip Code:</label>
<input type="text" class="text-156" name="zip3" id="zip3" value="[[!+fi.zip3]]">
</div>
<div class="row"><span class="error">[[!+fi.error.phonea3]]</span> <span class="error">[[!+fi.error.phoneb3]]</span> </div>
<div class="row">
<label for="phonea3">Phone Number(s):</label>
<input type="text" class="text-208" name="phonea3" id="phonea3" value="[[!+fi.phonea3]]" placeholder="XXX-XXX-XXXX">
<input type="text" class="text-208" name="phoneb3" id="phoneb3" value="[[!+fi.phoneb3]]" placeholder="XXX-XXX-XXXX">
</div>
<div class="row"><span class="error">[[!+fi.error.lastSup3]]</span></div>
<div class="row">
<label for="lastSup3">Name of Last Supervisor:</label>
<input type="text" class="text-592" name="lastSup3" id="lastSup3" value="[[!+fi.lastSup3]]">
</div>
<div class="row"><span class="error">[[!+fi.error.eDateFrom3]]</span><span class="error">[[!+fi.error.eDateTo3]]</span></div>
<div class="row">
<label for="eDateFrom3">Employment Dates: <span>From:</span></label>
<input type="text" class="text-208" name="eDateFrom3" id="eDateFrom3" value="[[!+fi.eDateFrom3]]">
<label for="eDateTo3" class="label-1">To:</label>
<input type="text" class="text-208" name="eDateTo3" id="eDateTo3" value="[[!+fi.eDateTo3]]">
</div>
<div class="row"><span class="error">[[!+fi.error.salStart3]]</span><span class="error">[[!+fi.error.salFinal3]]</span></div>
<div class="row">
<label for="salStart3">Pay or Salary: <span>Start:</span></label>
<input type="text" class="text-208" name="salStart3" id="salStart3" value="[[!+fi.salStart3]]">
<label for="salFinal3" class="label-1">Final:</label>
<input type="text" class="text-208" name="salFinal3" id="salFinal3" value="[[!+fi.salFinal3]]">
</div>
<div class="row"><span class="error">[[!+fi.error.lastTitle3]]</span></div>
<div class="row">
<label for="lastTitle3">Your last Job Title:</label>
<input type="text" class="text-592" name="lastTitle3" id="lastTitle3" value="[[!+fi.lastTitle3]]">
</div>
<div class="row"><span class="error">[[!+fi.error.reason3]]</span></div>
<div class="row">
<label for="reason3">Reason for leaving <em>(be specific):</em></label>
<input type="text" class="text-592" name="reason3" id="reason3" value="[[!+fi.reason3]]">
</div>
<div class="row"><span class="error">[[!+fi.error.summary3]]</span></div>
<div class="area-row">
<label for="summary3">List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.</label>
<textarea name="summary3" id="summary3" value="[[!+fi.summary3]]" cols="30" rows="10"></textarea>
</div>
</div>
</li>
<li>
<div class="opener-row">
<input id="addJob4" type="checkbox" checked="checked">
<label for="addJob4">Add a Past Job</label>
</div>
<div class="slide">
<div class="row"><span class="error">[[!+fi.error.empName4]]</span></div>
<div class="row">
<label for="empName4">Name of Employer:</label>
<input type="text" class="text-592" name="empName4" id="empName4" value="[[!+fi.empName4]]">
</div>
<div class="row"><span class="error">[[!+fi.error.address4]]</span><span class="error">[[+fi.error.state4]]</span><span class="error">[[+fi.error.zip4]]</span></div>
<div class="row">
<label for="address4">Address:</label>
<input type="text" class="text-208" name="address4" id="address4" value="[[!+fi.address4]]">
<label for="state4" class="label-1">State:</label>
<input type="text" class="text-62" name="state4" id="state4" value="[[!+fi.state4]]">
<label for="zip4" class="label-2">Zip Code:</label>
<input type="text" class="text-156" name="zip4" id="zip4" value="[[!+fi.zip4]]">
</div>
<div class="row"><span class="error">[[!+fi.error.phonea4]]</span> <span class="error">[[!+fi.error.phoneb4]]</span> </div>
<div class="row">
<label for="phonea4">Phone Number(s):</label>
<input type="text" class="text-208" name="phonea4" id="phonea4" value="[[!+fi.phonea4]]" placeholder="XXX-XXX-XXXX">
<input type="text" class="text-208" name="phoneb4" id="phoneb4" value="[[!+fi.phoneb4]]" placeholder="XXX-XXX-XXXX">
</div>
<div class="row"><span class="error">[[!+fi.error.lastSup4]]</span></div>
<div class="row">
<label for="lastSup4">Name of Last Supervisor:</label>
<input type="text" class="text-592" name="lastSup4" id="lastSup4" value="[[!+fi.lastSup4]]">
</div>
<div class="row"><span class="error">[[!+fi.error.eDateFrom4]]</span><span class="error">[[!+fi.error.eDateTo4]]</span></div>
<div class="row">
<label for="eDateFrom4">Employment Dates: <span>From:</span></label>
<input type="text" class="text-208" name="eDateFrom4" id="eDateFrom4" value="[[!+fi.eDateFrom4]]">
<label for="eDateTo4" class="label-1">To:</label>
<input type="text" class="text-208" name="eDateTo4" id="eDateTo4" value="[[!+fi.eDateTo4]]">
</div>
<div class="row"><span class="error">[[!+fi.error.salStart4]]</span><span class="error">[[!+fi.error.salFinal4]]</span></div>
<div class="row">
<label for="salStart4">Pay or Salary: <span>Start:</span></label>
<input type="text" class="text-208" name="salStart4" id="salStart4" value="[[!+fi.salStart4]]">
<label for="salFinal4" class="label-1">Final:</label>
<input type="text" class="text-208" name="salFinal4" id="salFinal4" value="[[!+fi.salFinal4]]">
</div>
<div class="row"><span class="error">[[!+fi.error.lastTitle4]]</span></div>
<div class="row">
<label for="lastTitle4">Your last Job Title:</label>
<input type="text" class="text-592" name="lastTitle4" id="lastTitle4" value="[[!+fi.lastTitle4]]">
</div>
<div class="row"><span class="error">[[!+fi.error.reason4]]</span></div>
<div class="row">
<label for="reason4">Reason for leaving <em>(be specific):</em></label>
<input type="text" class="text-592" name="reason4" id="reason4" value="[[!+fi.reason4]]">
</div>
<div class="row"><span class="error">[[!+fi.error.summary4]]</span></div>
<div class="area-row">
<label for="summary4">List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.</label>
<textarea name="summary4" id="summary4" value="[[!+fi.summary4]]" cols="30" rows="10"></textarea>
</div>
</div>
</li>
<li>
<div class="opener-row">
<input id="addJob5" type="checkbox" checked="checked">
<label for="addJob5">Add a Past Job</label>
</div>
<div class="slide">
<div class="row"><span class="error">[[!+fi.error.empName5]]</span></div>
<div class="row">
<label for="empName5">Name of Employer:</label>
<input type="text" class="text-592" name="empName5" id="empName5" value="[[!+fi.empName5]]">
</div>
<div class="row"><span class="error">[[!+fi.error.address5]]</span><span class="error">[[+fi.error.state5]]</span><span class="error">[[+fi.error.zip5]]</span></div>
<div class="row">
<label for="address5">Address:</label>
<input type="text" class="text-208" name="address5" id="address5" value="[[!+fi.address5]]">
<label for="state5" class="label-1">State:</label>
<input type="text" class="text-62" name="state5" id="state5" value="[[!+fi.state5]]">
<label for="zip5" class="label-2">Zip Code:</label>
<input type="text" class="text-156" name="zip5" id="zip5" value="[[!+fi.zip5]]">
</div>
<div class="row"><span class="error">[[!+fi.error.phonea5]]</span> <span class="error">[[!+fi.error.phoneb5]]</span> </div>
<div class="row">
<label for="phonea5">Phone Number(s):</label>
<input type="text" class="text-208" name="phonea5" id="phonea5" value="[[!+fi.phonea5]]" placeholder="XXX-XXX-XXXX">
<input type="text" class="text-208" name="phoneb5" id="phoneb5" value="[[!+fi.phoneb5]]" placeholder="XXX-XXX-XXXX">
</div>
<div class="row"><span class="error">[[!+fi.error.lastSup5]]</span></div>
<div class="row">
<label for="lastSup5">Name of Last Supervisor:</label>
<input type="text" class="text-592" name="lastSup5" id="lastSup5" value="[[!+fi.lastSup5]]">
</div>
<div class="row"><span class="error">[[!+fi.error.eDateFrom5]]</span><span class="error">[[!+fi.error.eDateTo5]]</span></div>
<div class="row">
<label for="eDateFrom5">Employment Dates: <span>From:</span></label>
<input type="text" class="text-208" name="eDateFrom5" id="eDateFrom5" value="[[!+fi.eDateFrom5]]">
<label for="eDateTo5" class="label-1">To:</label>
<input type="text" class="text-208" name="eDateTo5" id="eDateTo5" value="[[!+fi.eDateTo5]]">
</div>
<div class="row"><span class="error">[[!+fi.error.salStart5]]</span><span class="error">[[!+fi.error.salFinal5]]</span></div>
<div class="row">
<label for="salStart5">Pay or Salary: <span>Start:</span></label>
<input type="text" class="text-208" name="salStart5" id="salStart5" value="[[!+fi.salStart5]]">
<label for="salFinal5" class="label-1">Final:</label>
<input type="text" class="text-208" name="salFinal5" id="salFinal5" value="[[!+fi.salFinal5]]">
</div>
<div class="row"><span class="error">[[!+fi.error.lastTitle5]]</span></div>
<div class="row">
<label for="lastTitle5">Your last Job Title:</label>
<input type="text" class="text-592" name="lastTitle5" id="lastTitle5" value="[[!+fi.lastTitle5]]">
</div>
<div class="row"><span class="error">[[!+fi.error.reason5]]</span></div>
<div class="row">
<label for="reason5">Reason for leaving <em>(be specific):</em></label>
<input type="text" class="text-592" name="reason5" id="reason5" value="[[!+fi.reason5]]">
</div>
<div class="row"><span class="error">[[!+fi.error.summary5]]</span></div>
<div class="area-row">
<label for="summary5">List the jobs you held, duties perfo