constructionretailsnow.com Open in urlscan Pro
70.32.23.97  Public Scan

Form analysis
1 forms found in the DOM

POST

<form role="form" method="post" id="reused_form">
  <div class="row">
    <div class="col-sm-6 form-group">
      <label for="name"> First Name:</label>
      <input type="text" class="form-control" id="name" name="name" required="">
    </div>
    <div class="col-sm-6 form-group">
      <label for="name"> Middle Name:</label>
      <input type="text" class="form-control" id="middlename" name="middlename">
    </div>
    <div class="col-sm-6 form-group">
      <label for="name"> Surname:</label>
      <input type="text" class="form-control" id="Surname" name="Surname" required="">
    </div>
    <div class="col-sm-6 form-group">
      <label for="email"> Email:</label>
      <input type="email" class="form-control" id="email" name="email" required="">
    </div>
    <div class="col-sm-6 form-group">
      <label for="email"> Phone Number:</label>
      <input type="number" class="form-control" id="phonenumber" name="phonenumber" required="">
    </div>
    <div class="col-sm-12 form-group">
      <label for="message">Full Address with zip code:</label>
      <textarea class="form-control" type="textarea" id="address" name="address" maxlength="300" rows="2"></textarea>
    </div>
  </div>
  <br><br>
  <h2>Quick Questions</h2>
  <div class="row">
    <div class="col-sm-12 form-group">
      <label for="message">What is your level of education:</label>
      <textarea class="form-control" type="textarea" id="q1" name="q1" maxlength="300" rows="1"></textarea>
    </div>
    <div class="col-sm-12 form-group">
      <label for="message">Do you have prior Book keeping Experience:</label>
      <textarea class="form-control" type="textarea" id="q2" name="q2" maxlength="300" rows="1"></textarea>
    </div>
    <div class="col-sm-12 form-group">
      <label for="message">How old are you:</label>
      <textarea class="form-control" type="textarea" id="q3" name="q3" maxlength="300" rows="1"></textarea>
    </div>
    <div class="col-sm-12 form-group">
      <label for="message">What are some of your strengths:</label>
      <textarea class="form-control" type="textarea" id="q4" name="q4" maxlength="300" rows="1"></textarea>
    </div>
    <div class="col-sm-12 form-group">
      <label for="message">Do you have a criminal record:</label>
      <textarea class="form-control" type="textarea" id="q8" name="q8" maxlength="300" rows="1"></textarea>
    </div>
    <div class="col-sm-12 form-group">
      <label for="message">Reasons for leaving prior job if applicable:</label>
      <textarea class="form-control" type="textarea" id="q5" name="q5" maxlength="300" rows="1"></textarea>
    </div>
    <div class="col-sm-12 form-group">
      <label for="message">Do you have Access to internet:</label>
      <textarea class="form-control" type="textarea" id="q6" name="q6" maxlength="300" rows="1"></textarea>
    </div>
    <div class="col-sm-12 form-group">
      <label for="message">Are you avialbale 4 hours a day:</label>
      <textarea class="form-control" type="textarea" id="q7" name="q7" maxlength="300" rows="1"></textarea>
    </div>
  </div>
  <div class="row">
    <div class="col-sm-12 form-group">
      <label for="message"> Finally if there is anything you want us to know about you:</label>
      <textarea class="form-control" type="textarea" id="message" name="message" maxlength="6000" rows="4"></textarea>
    </div>
  </div>
  <div class="row">
    <div class="col-sm-12 form-group">
      <label for="name"> Resume Upload (Pdf/word):</label>
      <br>
      <div class="upload-btn-wrapper">
        <button type="button" class="btn btn-default">Browse</button>
        <input type="file" name="image">
      </div>
    </div>
  </div>
  <div class="row">
    <div class="col-sm-12 form-group">
      <button type="submit" class="btn btn-lg btn-default pull-right">Send →</button>
    </div>
  </div>
</form>

Text Content

CONSTRUCTION RETAIL INC

Administrative Assistant Application

Please answer the below questions to the best of your ability.

First Name:
Middle Name:
Surname:
Email:
Phone Number:
Full Address with zip code:




QUICK QUESTIONS

What is your level of education:
Do you have prior Book keeping Experience:
How old are you:
What are some of your strengths:
Do you have a criminal record:
Reasons for leaving prior job if applicable:
Do you have Access to internet:
Are you avialbale 4 hours a day:
Finally if there is anything you want us to know about you:
Resume Upload (Pdf/word):

Browse
Send →


APPLICATION SUBMITED SUCCESSFULLY!

Allow 24 - 48 for a response with interview information if you qualify


ERROR

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