career.unitedhealthpro.com Open in urlscan Pro
2606:4700:3030::6815:20dc  Public Scan

Form analysis
1 forms found in the DOM

POST action.php

<form action="action.php" method="post">
  <!-- Personal Information Section -->
  <div class="mb-6">
    <h2 class="text-lg font-bold mb-2">Personal Information</h2>
    <!-- Example fields -->
    <div class="grid grid-cols-2 gap-4">
      <div>
        <label class="block mb-2" for="firstName">First Name:</label>
        <input type="text" id="firstName" name="firstName" placeholder="United...." class="w-full p-2 border rounded" required="">
      </div>
      <div>
        <label class="block mb-2" for="lastName">Last Name:</label>
        <input type="text" id="lastName" name="lastName" placeholder="Health...." class="w-full p-2 border rounded" required="">
      </div>
    </div>
    <!-- More fields go here... -->
  </div>
  <!-- Contact Information Section -->
  <div class="mb-6">
    <h2 class="text-lg font-bold mb-2">Contact Information</h2>
    <div>
      <label class="block mb-2" for="email">Email:</label>
      <input type="email" id="email" name="email" placeholder="job@unitedhealthpro.com" class="w-full p-2 border rounded" required="">
    </div>
    <div class="contact-info">
      <label class="block mb-2" for="url">Url Profile:</label>
      <input type="url" id="url" name="url" placeholder="https://linkedin.com/your-profile" class="w-full p-2 border rounded" required="">
    </div>
    <div class="contact-info">
      <label class="block mb-2" for="url">Phone:</label>
      <input type="number" id="number" name="number" placeholder="+1 123.456.7890" class="w-full p-2 border rounded" required="">
    </div>
    <!-- More fields go here... -->
  </div>
  <div class="mb-6">
    <h2 class="text-lg font-bold mb-2">Years Of Experience</h2>
    <label>
      <input type="radio" name="radio" value="Less_1"> &lt; 1 year <span class="checkmark"></span>
    </label><br>
    <label>
      <input type="radio" name="radio" value="1_3"> 1 - 3 years <span class="checkmark"></span>
    </label><br>
    <label>
      <input type="radio" name="radio" value="More_3"> &gt; 3 years <span class="checkmark"></span>
    </label>
  </div>
  <!-- Resume Upload -->
  <div class="mb-6">
    <h2 class="text-lg font-bold mb-2">Latest Work Experience</h2>
    <textarea id="w3review" name="w3review" rows="4" cols="50" class="w-full p-2 border rounded" placeholder="Digital Marketing Executive
Company: United Health Pro
Responsible for Facebook Ads and Shopify...."></textarea>
  </div>
  <!-- Submit Button -->
  <div>
    <h5 class="text-lg font-bold mb-2">Please send your <strong style="color:red;">Portfolio</strong> or <strong style="color:red;">Resume</strong> to our<br> email address:
      <a class="text-blue-500 hover:underline" href="mailto:contact@unitedhealthpro.com"> contact@unitedhealthpro.com</a></h5>
    <br>
  </div>
  <div class="done">
    <button type="submit" onclick="alert('Thank You!!!\nNote: We will send you an email in 24 hours since now.\nPlease check both inbox and spam folder in your mail system.')">Submit Application</button>
  </div>
</form>

Text Content

PAGE UP


JOB APPLICATION


PERSONAL INFORMATION

First Name:
Last Name:


CONTACT INFORMATION

Email:
Url Profile:
Phone:


YEARS OF EXPERIENCE

< 1 year
1 - 3 years
> 3 years


LATEST WORK EXPERIENCE

PLEASE SEND YOUR PORTFOLIO OR RESUME TO OUR
EMAIL ADDRESS: CONTACT@UNITEDHEALTHPRO.COM


Submit Application

CONTACT US VIA

 * 
 *