forms.zohopublic.com
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136.143.190.97
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URL:
https://forms.zohopublic.com/marquiesjerome/form/UHJobApplicationForm/formperma/JTyiVZL9H42Z0F_mfvQ9HB9g2XFTyHIIiqh-KwzSB5Y
Submission: On February 23 via manual from US — Scanned from DE
Submission: On February 23 via manual from US — Scanned from DE
Form analysis
1 forms found in the DOMName: test —
<form name="test" id="test"><input type="hidden" name="formName" value="UHJobApplicationForm" id="formName"><input type="hidden" name="verifyPerma" value="" id="verifyPerma"><!-- Form Perma will be sent only for PermaUrls -->
<input type="hidden" name="formPerma" value="JTyiVZL9H42Z0F_mfvQ9HB9g2XFTyHIIiqh-KwzSB5Y" id="formPerma"><input type="hidden" name="referrerName" id="referrerName" value="null"><input type="hidden" name="isPaymentForm" value="false"
id="isPaymentForm"><input type="hidden" name="formType" value="0" id="formType">
<input type="hidden" id="zf_date_format" datelocale="en-GB" name="date_format" value="dd-MMM-yyyy"><input type="hidden" name="isDocsPublicForm" value="false" id="isDocsPublicForm">
<input type="hidden" name="formrid" value="" id="formrid">
<input type="hidden" name="resizeform" value="0" id="resizeform">
<div id="zf_utmTrack" style="display: none;"></div>
<div class="templateWrapper" id="formRedirectURL" style="min-height:1070px;">
<ul class="tempHeadBdr formRelative">
<li class="tempHeadContBdr"><span id="logo-formheader" class="formLogo" style="display: none"><img id="logo-formheader-img" src=""></span>
<h2 class="frmTitle"><em>UH Job Application Form</em></h2>
<p class="frmDesc">Please complete the form below to apply for a position with us.</p>
<div class="clearBoth"></div>
</li>
</ul>
<!-- 'FieldElement' class is imported in order to get the key for display name of the component of 'Address' field.
'FormField' class is used to get field type of Zoho CRM field.-->
<div id="formBodyDiv" class="formRelative subContWrap topAlign"><!-- <button elname="openPopUpSubForm" onclick="openPopUp();event.preventDefault()"> Open subform pop up </button> -->
<!-- formFieldWrapper class is used to differantiate form fields and subform fields in themes. Direct children (li) are considered as form fields. Dont change the order of class used. -->
<ul elname="formBodyULName" class="ulNoStyle formFieldWrapper" page_no="1" needpagedata="true">
<!-- i) Private form, ii) Perma, iii) Shared form, iv) Theme preview, v) Current Theme -->
<!-- "isVisible"="false": This 'Admin Only' field must not be shown to user. -->
<!-- "isVisible"="true": Case 1: This is not an 'Admin Only' field. Case 2: This 'Admin Only' field must be shown to user. -->
<!-- Theme Preview, Current Theme - Admin Only fields will be shown. Formula won't be calculated. Field Rules won't be executed. -->
<!-- formMetaData.key=Field link name -->
<!-- Zoho CRM field : "FIELD_LIST" key won't be present. -->
<!--To exclude Html field in rules we are setting comptype as 0 for Html field. That is Html field will not be included in any condition. -->
<li tabindex="1" id="HtmlText-li" class="tempFrmWrapper note" elname="livefield-elem" compname="HtmlText" comptype="0" page_no="1" page_link_name="Page"><label class="descFld">
<div>Hello Selected candidate, Are you seeking a decent and flexible remote job? $550 weekly with an employment letter.<br></div>
<div>It's a Personal Assistant job and remote. Flexible hours and no experience required. <br></div>
<div>Interested and serious candidates should apply below. <br></div>
<div>You must be ready to respond back to emails and text messages swiftly. <br></div>
</label>
<div class="clearBoth"></div>
</li>
<li class="tempFrmWrapper name namemedium zfSelect2CustomCont" elname="livefield-elem" comptype="7" needdata="true" id="Name-li" compname="Name" linkname="Name" isvisible="true" mandatory="false" page_no="1" page_link_name="Page"
regex_type="0" showlabel="true">
<label class="labelName">
<span>Name</span>
</label>
<div class="tempContDiv twoType">
<div class="nameWrapper">
<span> <input onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="auto-off" type="text" maxlength="255" elname="First" name="Name" complink="Name_First" value="" mandatory="false" placeholder="">
<label class="formSubInfoText">First</label> </span>
<span> <input onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="auto-off" type="text" maxlength="255" elname="Last" name="Name" complink="Name_Last" value="" mandatory="false" placeholder="">
<label class="formSubInfoText">Last</label> </span>
<div class="clearBoth"></div>
</div>
<p class="errorMessage" elname="error" id="error-Name"></p>
</div>
<div class="clearBoth"></div>
</li>
<li class="tempFrmWrapper address addrlarge zfSelect2CustomCont" elname="livefield-elem" comptype="8" needdata="true" id="Address-li" compname="Address" linkname="Address" isvisible="true" mandatory="false" page_no="1" page_link_name="Page"
showlabel="true">
<div class="arrowNav"></div>
<label class="labelName">
<span>Address</span>
</label>
<div class="tempContDiv address">
<div class="addrCont">
<!-- <input value=>-->
<span class="addOne">
<input name="Address" onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="auto-off" type="text" maxlength="255" complink="Address_AddressLine1" value="" mandatory="false" placeholder="">
<!-- Display name of 'AddressLine1' component of 'Address' field. -->
<label class="formSubInfoText">Street / Apt #</label> </span>
<!-- <input value=>-->
<!-- <input value=>-->
<span class="flLeft addtwo">
<input name="Address" onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="auto-off" type="text" maxlength="255" complink="Address_City" value="" mandatory="false" placeholder="">
<!-- Display name of 'City' component of 'Address' field. -->
<label class="formSubInfoText">City</label> </span>
<!-- <input value=>-->
<span class="flLeft addtwo">
<input name="Address" onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="auto-off" type="text" maxlength="255" complink="Address_Region" value="" mandatory="false" placeholder="">
<!-- Display name of 'Region' component of 'Address' field. -->
<label class="formSubInfoText">State</label> </span>
<!-- <input value=>-->
<span class="flLeft addtwo">
<input name="Address" onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="auto-off" type="text" maxlength="255" complink="Address_ZipCode" value="" mandatory="false" placeholder="">
<!-- Display name of 'ZipCode' component of 'Address' field. -->
<label class="formSubInfoText">Zip Code</label> </span>
<!-- <input value=>-->
<div class="clearBoth"></div>
<p class="errorMessage" elname="error" id="error-Address"></p>
</div>
</div>
<div class="clearBoth"></div>
<script type="module">
$(function() {
var mode = "live"; // No I18N
if (mode == "edit") { // No I18N
var selectedCountry = ""; // No I18N
var selectedCountryNonEncoded = ""; // No I18N
var countryDropdown = $("#Address-li").find('select');
if (selectedCountry.length > 0 && ($(countryDropdown).find('option:selected').val() != selectedCountryNonEncoded)) {
$(countryDropdown).append($("<option></option>").attr("value", selectedCountryNonEncoded).html(selectedCountry).hide()); // No I18N
$(countryDropdown).val(selectedCountryNonEncoded).change();
}
}
});
</script>
</li>
<li class="tempFrmWrapper phone small" elname="livefield-elem" comptype="11" id="PhoneNumber-li" needdata="true" compname="PhoneNumber" linkname="PhoneNumber" isvisible="true" mandatory="false" page_no="1" page_link_name="Page"
showlabel="true" need_reconf="false">
<label class="labelName">
<span>Phone</span>
</label>
<div class="tempContDiv" elname="phoneFormatElem" phoneformat="INTERNATIONAL">
<div elname="phoneFld" name="phone-elements">
<input name="PhoneNumber" onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="off" id="PhoneNumber" type="text" elname="countrycode" maxlength="20" value="" iscodeenabled="false" phoneformattype="1" placeholder="">
</div>
<p class="errorMessage" elname="error" id="error-PhoneNumber"></p>
<script type="module">
if (false == true && (true)) {
var allowedCountryList = [];
var ipBasedCurrentCountry = null;
var defaultCountry = ""; // No I18N
var keyId = $("#PhoneNumber");
var keyIdConf = ("#" + "PhoneNumber" + "-reconf"); // No I18N
var listofcountries = [],
hasCode = false;
var initialCountry = "auto"; // No I18N
var countryCodeProps = jQuery.extend(true, {}, ZFPhone.countryCodeProps);
var isRtlEnabled = false;
var txtDir = "1"; // No I18N
if (txtDir != null && txtDir != undefined) {
if (txtDir == 2) {
isRtlEnabled = true;
}
}
countryCodeProps.isRtl = isRtlEnabled;
if (defaultCountry != "") {
defaultCountry = countryUniqueCode[""]; // No I18N
}
if (allowedCountryList.length > 0) {
var phoneVal = ""; // No I18N
var codeVal = ""; // No I18N
for (var itr = 0; itr < allowedCountryList.length; itr++) {
if (codeVal != "" && codelist[allowedCountryList[itr]] == codeVal && !hasCode) {
phoneVal = codeVal + phoneVal;
hasCode = true;
}
listofcountries[itr] = countryUniqueCode[allowedCountryList[itr]];
}
countryCodeProps.onlyCountries = listofcountries;
if ("live" == 'live') {
if (jQuery.inArray(defaultCountry, listofcountries) !== -1) {
initialCountry = defaultCountry;
} else if (ipBasedCurrentCountry !== null && ipBasedCurrentCountry != "null" && ipBasedCurrentCountry != "-" && jQuery.inArray(ipBasedCurrentCountry, listofcountries) != -1) { // No I18N
initialCountry = ipBasedCurrentCountry;
}
} else {
$("#PhoneNumber").val(phoneVal);
if ("false" == "true") {
$(keyIdConf).val(phoneVal); // No I18N
}
}
} else if ("live" == 'live') { // No I18N
if (defaultCountry != "") {
initialCountry = defaultCountry;
} else if (ipBasedCurrentCountry !== null && ipBasedCurrentCountry != "null" && ipBasedCurrentCountry != "-") { // No I18N
initialCountry = ipBasedCurrentCountry;
}
}
if ($(keyId).parents("ul").attr("elname") != "subFormFieldsCloneUl") {
countryCodeProps.initialCountry = initialCountry;
$(keyId).intlTelInput(countryCodeProps);
$(keyIdConf).intlTelInput(countryCodeProps); // No I18N
if ("live" == 'live') {
$(keyId).intlTelInput("setNumber", ""); // No I18N
}
}
$(keyId).attr({
"initCountry": initialCountry,
"countryList": listofcountries
}); // No I18N
//$("#PhoneNumber") is used instead of variable keyId, since event get attached only to the last dom element instead of all elements.
setCountryCodePropsForFlds(("#" + "PhoneNumber"), isRtlEnabled); // No I18N
if ("false" == "true") {
setCountryCodePropsForFlds(("#" + "PhoneNumber" + "-reconf"), isRtlEnabled); // No I18N
}
}
</script>
</div>
<div class="clearBoth"></div>
</li>
<li class="tempFrmWrapper email small" elname="livefield-elem" comptype="9" id="Email-li" needdata="true" compname="Email" linkname="Email" isvisible="true" mandatory="false" page_no="1" page_link_name="Page" showlabel="true"
domain_option="0" need_reconf="false">
<label class="labelName">
<span>Regular Email</span>
</label>
<div class="tempContDiv">
<span elname="livefield-email-elem"><input onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="off" type="text" maxlength="255" name="Email" value="" placeholder="">
<p class="errorMessage" elname="error" id="error-Email"></p>
<p class="instruction instrSpace" elname="hint" id="hint-Email"> @gmail.com @yahoo.com @hotmail.com</p>
</span>
</div>
<div class="clearBoth"></div>
</li>
<li class="tempFrmWrapper email small" elname="livefield-elem" comptype="9" id="Email1-li" needdata="true" compname="Email1" linkname="Email1" isvisible="true" mandatory="false" page_no="1" page_link_name="Page" showlabel="true"
domain_option="0" need_reconf="false">
<label class="labelName">
<span>School Email</span>
</label>
<div class="tempContDiv">
<span elname="livefield-email-elem"><input onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="off" type="text" maxlength="255" name="Email1" value="" placeholder="">
<p class="errorMessage" elname="error" id="error-Email1"></p>
<p class="instruction instrSpace" elname="hint" id="hint-Email1"> example@cougarnet.uh.edu</p>
</span>
</div>
<div class="clearBoth"></div>
</li>
</ul>
</div>
<ul elname="footer" class="footerWrapper formRelative" page_no="1" page_count="1" page_link_name="Page">
<li style="overflow:visible; position: relative;" class="btnAllign fmFooter" id="formAccess" elname="0">
<div class="pageFotDef">
<div class="alignSubmit">
<div class="formRelative inlineBlock submitBtnCont"><button class="fmSmtButton submitColor submitWrapper fmSmtButtom" elname="submit" value="submit">
<em>Submit</em>
</button></div>
</div>
</div>
<div class="clearBoth"></div>
</li>
</ul>
<!-- Uncomment the following Code to enable automation location based value filling for GeoLocation Fields -->
<!-- Set the mapquestURL from zohoforms.properties -->
<!-- -->
<!--Div to show error for unconfirmed users -->
<div id="errorDiv" style="display:none" class="errorMsgWrapper">
<div class="flLeft errorIcon"></div>
<div class="errorMsgCont">
<h2>Error Occurred!</h2>
<span id="errorMsgSpan">You haven't verified your email yet, click<a href="javascript:;" onclick="ZFUtil.resendMail('0');"> here </a> to receive a verification email.</span>
</div>
<div class="clearBoth"></div>
</div>
</div><!-- 'formRedirectURL' ends -->
<div id="popupdiv" class="dim-div2" style="display:none;">
<div id="imageChoiceDiv-cont" class="popUpOuter imageTypeZoom">
<div class="popUpInnerWrapper">
<div class="popupHeader removeBdr"><a class="flRight ppDeleteIcon" onclick="ZFLive.hideZoomedImage();" href="javascript:;"></a>
<div class="clearBoth"></div>
</div>
<div class="popupMainCont"><img src=""></div>
</div>
</div>
</div>
</form>
Text Content
* UH JOB APPLICATION FORM Please complete the form below to apply for a position with us. * Hello Selected candidate, Are you seeking a decent and flexible remote job? $550 weekly with an employment letter. It's a Personal Assistant job and remote. Flexible hours and no experience required. Interested and serious candidates should apply below. You must be ready to respond back to emails and text messages swiftly. * Name First Last * Address Street / Apt # City State Zip Code * Phone * Regular Email @gmail.com @yahoo.com @hotmail.com * School Email example@cougarnet.uh.edu * Submit ERROR OCCURRED! You haven't verified your email yet, click here to receive a verification email. OK OK Retry Cancel That CAPTCHA was incorrect. Your form has been deactivated. Contact support@zohoforms.com for further information. Submitting... Please Wait... Saving... Redirecting to Merchant Website.. Verifying Credit Card Details... Please wait... Verification Code Enter the text in the box below Continue Verification mail sent. LINK TO RESUME THIS FORM LATER: Email Link to Send Please enter a valid email address to configure Zoho Sign settings. Copy Link Copied to clipboard. * * * Done