<?xml version="1.0" encoding="UTF-8"?>

<form url="sbtaxidriverap.php"
 window="_self"
 method="POST"
 fontname="MS Sans Serif"
 width="574"
 height="862"
 bkcolor="0x000000"
 transparent="f"
 fontcolor="0x000000"
 outlinecolor="0xC5B92C"
 themecolor="0xC5B92C"
 fontcolor2="#000000"
 bkcolor2="#FFFFFF"
 includeresults="false"
 emailuser="false"
 verifymessage="The E-Mail address you entered does not match !"
 reqmessage="One or More Fields are Required"
 invalidemailmsg="is an invalid address, please correct it."
 transition="0"
 autoresponseincluderesults="t"
 autoresponseaddtotop="t"
 usephp="true"
disableclicktoactiveprompt="false"
 extensions=""
>

<hidden
 name="thankyoupage"
 value="http://southboundtaxi.com/receivedap.html"
></hidden>

<hidden
 name="subject"
 value="Application for Southbound Taxi Service Driver"
></hidden>

<textinput
 name="Last Name First Name"
 x="188"
 y="20"
 w="320"
 h="22"
 initvalue=""
 bkcolor="0xF5F5F5"
  fontname="Arial"
  fontcolor="0x000000"
 editable="true"
>
</textinput>

<textinput
 name="Contact Phone Number"
 x="200"
 y="150"
 w="320"
 h="22"
 initvalue=""
 bkcolor="0xF5F5F5"
  fontname="Arial"
  fontcolor="0x000000"
 required="true"
 editable="true"
>
</textinput>

<checkbox
 name="Z"
 x="460"
 y="168"
 w="100"
 h="19"
 label="Z endorsement"
 labelPos="right"
 value="checked"
  fontsize="12"
  fontname="Arial"
  fontcolor="0xFFE362"
></checkbox>

<checkbox
 name="Class"
 x="316"
 y="168"
 w="25"
 h="19"
 label="D"
 labelPos="right"
 value="checked"
  fontsize="12"
  fontname="Arial"
  fontcolor="0xFFE362"
></checkbox>

<checkbox
 name="Class"
 x="194"
 y="169"
 w="25"
 h="19"
 label="G"
 labelPos="right"
 value="checked"
  fontsize="12"
  fontname="Arial"
  fontcolor="0xFFE362"
></checkbox>

<checkbox
 name="Class"
 x="420"
 y="168"
 w="25"
 h="19"
 label="M"
 labelPos="right"
 value="checked"
  fontsize="12"
  fontname="Arial"
  fontcolor="0xFFE362"
></checkbox>

<checkbox
 name="Class"
 x="280"
 y="168"
 w="23"
 h="19"
 label="A"
 labelPos="right"
 value="checked"
  fontsize="12"
  fontname="Arial"
  fontcolor="0xFFE362"
></checkbox>

<checkbox
 name="Class"
 x="360"
 y="168"
 w="48"
 h="19"
 label="E or F"
 labelPos="right"
 value="checked"
  fontsize="12"
  fontname="Arial"
  fontcolor="0xFFE362"
></checkbox>

<checkbox
 name="Class"
 x="224"
 y="168"
 w="50"
 h="19"
 label="B or C"
 labelPos="right"
 value="checked"
  fontsize="12"
  fontname="Arial"
  fontcolor="0xFFE362"
></checkbox>

<checkbox
 name="Passport yes"
 x="144"
 y="191"
 w="35"
 h="19"
 label="yes"
 labelPos="right"
 value="checked"
  fontsize="12"
  fontname="Arial"
  fontcolor="0xFFE362"
></checkbox>

<textarea
 name="Driving Experience"
 x="10"
 y="297"
 w="551"
 h="69"
 initvalue=""
 wordwrap="true"
 editable="true"
 bkcolor="0xF5F5F5"
  fontsize="12"
  fontname="Arial"
  fontcolor="0x000000"
></textarea>

<checkbox
 name="Passport no"
 x="190"
 y="191"
 w="32"
 h="19"
 label="No"
 labelPos="right"
 value="checked"
  fontsize="12"
  fontname="Arial"
  fontcolor="0xFFE362"
></checkbox>

<textinput
 name="Availability"
 x="92"
 y="372"
 w="467"
 h="22"
 initvalue=""
 bkcolor="0xF5F5F5"
  fontname="Arial"
  fontcolor="0x000000"
 editable="true"
>
</textinput>

<textinput
 name="Occupation"
 x="276"
 y="404"
 w="281"
 h="22"
 initvalue=""
 bkcolor="0xF5F5F5"
  fontname="Arial"
  fontcolor="0x000000"
 editable="true"
>
</textinput>

<submitbutton
 name="Submit Button 1"
 x="192"
 y="716"
 w="178"
 h="33"
 label="Submit Application"
 fontname="Arial"
 fontcolor="0x000000"
  fontsize="18"
></submitbutton>

<textinput
 name="Contact Email"
 x="188"
 y="104"
 w="320"
 h="22"
 initvalue=""
 bkcolor="0xF5F5F5"
  fontname="Arial"
  fontcolor="0x000000"
 emailbox="true"
 editable="true"
>
</textinput>

<textarea
 name="Mailing Address"
 x="188"
 y="48"
 w="320"
 h="50"
 initvalue=""
 wordwrap="true"
 required="true"
 editable="true"
 bkcolor="0xF5F5F5"
  fontsize="12"
  fontname="Arial"
  fontcolor="0x000000"
></textarea>

<textarea
 name="What I have to Offer"
 x="10"
 y="456"
 w="549"
 h="207"
 initvalue=""
 wordwrap="true"
 editable="true"
 bkcolor="0xF5F5F5"
  fontsize="12"
  fontname="Arial"
  fontcolor="0x000000"
></textarea>

<textarea
 name="HTA Convictions"
 x="10"
 y="216"
 w="548"
 h="50"
 initvalue=""
 wordwrap="true"
 editable="true"
 bkcolor="0xF5F5F5"
  fontsize="12"
  fontname="Arial"
  fontcolor="0x000000"
></textarea>

<label
 name="My Text 3"
 x="68"
 y="67"
 w="121"
 h="18"
 text="Mailing Address:"
  fontname="Arial"
  fontcolor="0xFFE362"
  fontsize="16"
></label>

<label
 name="My Text 4"
 x="68"
 y="142"
 w="112"
 h="18"
 text="Phone Number:"
  fontname="Arial"
  fontcolor="0xFFE362"
  fontsize="16"
></label>

<checkbox
 name="1st aid"
 x="444"
 y="677"
 w="114"
 h="19"
 label="Currently Certified"
 labelPos="right"
 value="checked"
  fontsize="12"
  fontname="Arial"
  fontcolor="0xFFE362"
></checkbox>

<label
 name="My Text 6"
 x="12"
 y="167"
 w="181"
 h="18"
 text="Class of Driver&apos;s Licence:"
  fontname="Arial"
  fontcolor="0xFFE362"
  fontsize="16"
></label>

<label
 name="My Text 7"
 x="13"
 y="190"
 w="126"
 h="16"
 text="Have a valid passport"
  fontname="Arial"
  fontcolor="0xFFE362"
  fontsize="13"
></label>

<label
 name="My Text 8"
 x="8"
 y="273"
 w="482"
 h="18"
 text="Driving Experience (ie. years licensed, professional experience, etc.):"
  fontname="Arial"
  fontcolor="0xFFE362"
  fontsize="16"
></label>

<label
 name="My Text 9"
 x="8"
 y="375"
 w="82"
 h="18"
 text="Availability:"
  fontname="Arial"
  fontcolor="0xFFE362"
  fontsize="16"
></label>

<label
 name="My Text 10"
 x="228"
 y="188"
 w="302"
 h="18"
 text="Highway Traffic Act Convictions and Dates:"
  fontname="Arial"
  fontcolor="0xFFE362"
  fontsize="16"
></label>

<label
 name="My Text 11"
 x="8"
 y="406"
 w="268"
 h="18"
 text="Occupation (Retirees Most Welcome):"
  fontname="Arial"
  fontcolor="0xFFE362"
  fontsize="16"
></label>

<label
 name="My Text 12"
 x="10"
 y="436"
 w="532"
 h="18"
 text="What you have to offer to our customers and why this position appeals to you:"
  fontname="Arial"
  fontcolor="0xFFE362"
  fontsize="16"
></label>

<label
 name="My Text 13"
 x="68"
 y="108"
 w="111"
 h="18"
 text="Email Address:"
  fontname="Arial"
  fontcolor="0xFFE362"
  fontsize="16"
></label>

<label
 name="My Text 1"
 x="68"
 y="23"
 w="46"
 h="18"
 text="Name"
  fontname="Arial"
  fontcolor="0xFFE362"
  fontsize="16"
></label>

<label
 name="My Text 2"
 x="116"
 y="25"
 w="66"
 h="16"
 text="(last, first):"
  fontname="Arial"
  fontcolor="0xFFE362"
  fontsize="13"
></label>

<label
 name="My Text 5"
 x="12"
 y="676"
 w="353"
 h="18"
 text="Have you ever been trained in first aid and C.P.R.?"
  fontname="Arial"
  fontcolor="0xFFE362"
  fontsize="16"
></label>

<checkbox
 name="1st aid"
 x="367"
 y="677"
 w="37"
 h="19"
 label="Yes"
 labelPos="right"
 value="checked"
  fontsize="12"
  fontname="Arial"
  fontcolor="0xFFE362"
></checkbox>

<checkbox
 name="1st aid"
 x="408"
 y="677"
 w="32"
 h="19"
 label="No"
 labelPos="right"
 value="checked"
  fontsize="12"
  fontname="Arial"
  fontcolor="0xFFE362"
></checkbox>

<label
 name="My Text 14"
 x="6"
 y="772"
 w="559"
 h="22"
 text="Thank you for your interest.  Please add Go@Southboundtaxi.com"
  fontname="Arial"
  fontcolor="0xFFE362"
  fontsize="19"
></label>

<label
 name="My Text 15"
 x="6"
 y="800"
 w="566"
 h="22"
 text="to your email contact list as we will acknowledge your application by"
  fontname="Arial"
  fontcolor="0xFFE362"
  fontsize="19"
></label>

<label
 name="My Text 16"
 x="8"
 y="828"
 w="175"
 h="22"
 text="email.  Life&apos;s a Trip!!"
  fontname="Arial"
  fontcolor="0xFFE362"
  fontsize="19"
></label>

</form>
