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<script src="https://cdn.jotfor.ms/js/vendor/imageinfo.js?v=3.3.7858" type="text/javascript"></script>
<script src="https://cdn.jotfor.ms/static/prototype.forms.js" type="text/javascript"></script>
<script src="https://cdn.jotfor.ms/static/jotform.forms.js?3.3.7858" type="text/javascript"></script>
<script type="text/javascript">
JotForm.init(function(){
/*INIT-END*/
});
JotForm.prepareCalculationsOnTheFly([null,null,null,{"name":"Name","qid":"3","text":" Name","type":"control_textbox"},null,{"name":"emailAddress","qid":"5","text":"Email Address","type":"control_textbox"},null,{"name":"uploadResume","qid":"7","text":"Upload Resume Here","type":"control_fileupload"},null,null,null,null,{"description":"","name":"annualSalary","qid":"12","subLabel":"","text":"Annual Salary +","type":"control_dropdown"},null,null,{"name":"submit15","qid":"15","text":"Submit","type":"control_button"},{"description":"","name":"phoneNumber","qid":"16","text":"Phone Number","type":"control_phone"},{"description":"","name":"amenableTo","qid":"17","subLabel":"","text":"Amenable to Fee","type":"control_dropdown"},{"description":"","name":"otherInfo","qid":"18","subLabel":"","text":"Other Info - Geography Pref\u002F Industry Targets ","type":"control_textarea"}]);
setTimeout(function() {
JotForm.paymentExtrasOnTheFly([null,null,null,{"name":"Name","qid":"3","text":" Name","type":"control_textbox"},null,{"name":"emailAddress","qid":"5","text":"Email Address","type":"control_textbox"},null,{"name":"uploadResume","qid":"7","text":"Upload Resume Here","type":"control_fileupload"},null,null,null,null,{"description":"","name":"annualSalary","qid":"12","subLabel":"","text":"Annual Salary +","type":"control_dropdown"},null,null,{"name":"submit15","qid":"15","text":"Submit","type":"control_button"},{"description":"","name":"phoneNumber","qid":"16","text":"Phone Number","type":"control_phone"},{"description":"","name":"amenableTo","qid":"17","subLabel":"","text":"Amenable to Fee","type":"control_dropdown"},{"description":"","name":"otherInfo","qid":"18","subLabel":"","text":"Other Info - Geography Pref\u002F Industry Targets ","type":"control_textarea"}]);}, 20);
</script>
<link href="https://cdn.jotfor.ms/static/formCss.css?3.3.7858" rel="stylesheet" type="text/css" />
<link type="text/css" rel="stylesheet" href="https://cdn.jotfor.ms/css/styles/nova.css?3.3.7858" />
<link type="text/css" media="print" rel="stylesheet" href="https://cdn.jotfor.ms/css/printForm.css?3.3.7858" />
<style type="text/css">
.form-label-left{
width:148px;
}
.form-line{
padding-top:12px;
padding-bottom:12px;
}
.form-label-right{
width:148px;
}
.form-all{
width:593px;
color:Black !important;
font-family:"Lucida Grande", "Lucida Sans Unicode", "Lucida Sans", Verdana, sans-serif;
font-size:14px;
}
.form-radio-item label, .form-checkbox-item label, .form-grading-label, .form-header{
color: false;
}
</style>
<style type="text/css" id="form-designer-style">
/* Injected CSS Code */
.form-all:after {
content: "";
display: table;
clear: both;
}
.form-all {
font-family: "Lucida Grande", sans-serif;
}
.form-all {
width: 593px;
}
.form-label-left,
.form-label-right {
width: 148px;
}
.form-label {
white-space: normal;
}
.form-label.form-label-auto {
display: inline-block;
float: left;
text-align: left;
width: 148px;
}
.form-label-left {
display: inline-block;
white-space: normal;
float: left;
text-align: left;
}
.form-label-right {
display: inline-block;
white-space: normal;
float: left;
text-align: right;
}
.form-label-top {
white-space: normal;
display: block;
float: none;
text-align: left;
}
.form-radio-item label:before {
top: 0;
}
.form-all {
font-size: 14px;
}
.form-label {
font-weight: bold;
}
.form-checkbox-item label,
.form-radio-item label {
font-weight: normal;
}
.supernova {
background-color: none;
background-color: #ffffff;
}
.supernova body {
background-color: transparent;
}
/*
@width30: (unit(@formWidth, px) + 60px);
@width60: (unit(@formWidth, px)+ 120px);
@width90: (unit(@formWidth, px)+ 180px);
*/
/* | */
/* | */
/* | */
@media screen and (max-width: 480px) {
.jotform-form .form-all {
margin: 0;
width: 100%;
}
}
/* | */
/* | */
@media screen and (min-width: 480px) and (max-width: 767px) {
.jotform-form .form-all {
margin: 0;
width: 100%;
}
}
/* | */
/* | */
@media screen and (min-width: 480px) and (max-width: 592px) {
.jotform-form .form-all {
margin: 0;
width: 100%;
}
}
/* | */
/* | */
@media screen and (min-width: 768px) {
.jotform-form {
padding: 60px 0;
}
}
/* | */
/* | */
@media screen and (max-width: 592px) {
.jotform-form .form-all {
margin: 0;
width: 100%;
}
}
/* | */
.supernova .form-all,
.form-all {
background-color: none;
border: 1px solid transparent;
}
.form-all {
color: #000000;
}
.form-header-group .form-header {
color: #000000;
}
.form-header-group .form-subHeader {
color: #1a1a1a;
}
.form-sub-label {
color: #1a1a1a;
}
.form-label-top,
.form-label-left,
.form-label-right,
.form-html {
color: #000000;
}
.form-checkbox-item label,
.form-radio-item label {
color: #1a1a1a;
}
.form-line.form-line-active {
-webkit-transition-property: all;
-moz-transition-property: all;
-ms-transition-property: all;
-o-transition-property: all;
transition-property: all;
-webkit-transition-duration: 0.3s;
-moz-transition-duration: 0.3s;
-ms-transition-duration: 0.3s;
-o-transition-duration: 0.3s;
transition-duration: 0.3s;
-webkit-transition-timing-function: ease;
-moz-transition-timing-function: ease;
-ms-transition-timing-function: ease;
-o-transition-timing-function: ease;
transition-timing-function: ease;
background-color: #ffffe0;
}
/* omer */
.form-radio-item,
.form-checkbox-item {
padding-bottom: 0px !important;
}
.form-radio-item:last-child,
.form-checkbox-item:last-child {
padding-bottom: 0;
}
/* omer */
[data-type="control_radio"] .form-input,
[data-type="control_checkbox"] .form-input,
[data-type="control_radio"] .form-input-wide,
[data-type="control_checkbox"] .form-input-wide {
width: 100%;
max-width: 216px;
}
.form-radio-item,
.form-checkbox-item {
width: 100%;
max-width: 216px;
-moz-box-sizing: border-box;
-webkit-box-sizing: border-box;
box-sizing: border-box;
}
.form-textbox.form-radio-other-input,
.form-textbox.form-checkbox-other-input {
width: 80%;
margin-left: 3%;
-moz-box-sizing: border-box;
-webkit-box-sizing: border-box;
box-sizing: border-box;
}
.form-multiple-column {
width: 100%;
}
.form-multiple-column .form-radio-item,
.form-multiple-column .form-checkbox-item {
width: 10%;
}
.form-multiple-column[data-columncount="1"] .form-radio-item,
.form-multiple-column[data-columncount="1"] .form-checkbox-item {
width: 100%;
}
.form-multiple-column[data-columncount="2"] .form-radio-item,
.form-multiple-column[data-columncount="2"] .form-checkbox-item {
width: 50%;
}
.form-multiple-column[data-columncount="3"] .form-radio-item,
.form-multiple-column[data-columncount="3"] .form-checkbox-item {
width: 33.33333333%;
}
.form-multiple-column[data-columncount="4"] .form-radio-item,
.form-multiple-column[data-columncount="4"] .form-checkbox-item {
width: 25%;
}
.form-multiple-column[data-columncount="5"] .form-radio-item,
.form-multiple-column[data-columncount="5"] .form-checkbox-item {
width: 20%;
}
.form-multiple-column[data-columncount="6"] .form-radio-item,
.form-multiple-column[data-columncount="6"] .form-checkbox-item {
width: 16.66666667%;
}
.form-multiple-column[data-columncount="7"] .form-radio-item,
.form-multiple-column[data-columncount="7"] .form-checkbox-item {
width: 14.28571429%;
}
.form-multiple-column[data-columncount="8"] .form-radio-item,
.form-multiple-column[data-columncount="8"] .form-checkbox-item {
width: 12.5%;
}
.form-multiple-column[data-columncount="9"] .form-radio-item,
.form-multiple-column[data-columncount="9"] .form-checkbox-item {
width: 11.11111111%;
}
.form-single-column .form-checkbox-item,
.form-single-column .form-radio-item {
width: 100%;
}
.form-checkbox-item .editor-container div,
.form-radio-item .editor-container div {
position: relative;
}
.form-checkbox-item .editor-container div:before,
.form-radio-item .editor-container div:before {
display: inline-block;
vertical-align: middle;
-moz-box-sizing: border-box;
-webkit-box-sizing: border-box;
box-sizing: border-box;
left: 0;
width: 18px;
height: 18px;
}
.supernova {
height: 100%;
background-repeat: no-repeat;
background-attachment: scroll;
background-position: center top;
background-repeat: repeat;
}
.supernova {
background-image: none;
}
#stage {
background-image: none;
}
/* | */
.form-all {
background-repeat: no-repeat;
background-attachment: scroll;
background-position: center top;
background-repeat: repeat;
}
.form-header-group {
background-repeat: no-repeat;
background-attachment: scroll;
background-position: center top;
}
.form-line {
margin-top: 12px;
margin-bottom: 12px;
}
.form-line {
padding: 12px 36px;
}
.form-all .qq-upload-button,
.form-all .form-submit-button,
.form-all .form-submit-reset,
.form-all .form-submit-print {
font-size: 1em;
padding: 9px 15px;
font-family: "Lucida Grande", sans-serif;
font-size: 14px;
font-weight: normal;
}
.form-all .form-pagebreak-back,
.form-all .form-pagebreak-next {
font-size: 1em;
padding: 9px 15px;
font-family: "Lucida Grande", sans-serif;
font-size: 14px;
font-weight: normal;
}
/*
& when ( @buttonFontType = google ) {
@import (css) "@{buttonFontLink}";
}
*/
h2.form-header {
line-height: 1.618em;
font-size: 1.714em;
}
h2 ~ .form-subHeader {
line-height: 1.5em;
font-size: 1.071em;
}
.form-header-group {
text-align: left;
}
.form-line {
zoom: 1;
}
.form-line:before,
.form-line:after {
display: table;
content: '';
line-height: 0;
}
.form-line:after {
clear: both;
}
.form-captcha input,
.form-spinner input {
width: 216px;
}
.form-textbox,
.form-textarea {
width: 100%;
max-width: 216px;
-moz-box-sizing: border-box;
-webkit-box-sizing: border-box;
box-sizing: border-box;
}
.form-input,
.form-address-table,
.form-matrix-table {
width: 100%;
max-width: 216px;
}
.form-radio-item,
.form-checkbox-item {
width: 100%;
max-width: 216px;
-moz-box-sizing: border-box;
-webkit-box-sizing: border-box;
box-sizing: border-box;
}
.form-textbox.form-radio-other-input,
.form-textbox.form-checkbox-other-input {
width: 80%;
margin-left: 3%;
-moz-box-sizing: border-box;
-webkit-box-sizing: border-box;
box-sizing: border-box;
}
.form-multiple-column {
width: 100%;
}
.form-multiple-column .form-radio-item,
.form-multiple-column .form-checkbox-item {
width: 10%;
}
.form-multiple-column[data-columncount="1"] .form-radio-item,
.form-multiple-column[data-columncount="1"] .form-checkbox-item {
width: 100%;
}
.form-multiple-column[data-columncount="2"] .form-radio-item,
.form-multiple-column[data-columncount="2"] .form-checkbox-item {
width: 50%;
}
.form-multiple-column[data-columncount="3"] .form-radio-item,
.form-multiple-column[data-columncount="3"] .form-checkbox-item {
width: 33.33333333%;
}
.form-multiple-column[data-columncount="4"] .form-radio-item,
.form-multiple-column[data-columncount="4"] .form-checkbox-item {
width: 25%;
}
.form-multiple-column[data-columncount="5"] .form-radio-item,
.form-multiple-column[data-columncount="5"] .form-checkbox-item {
width: 20%;
}
.form-multiple-column[data-columncount="6"] .form-radio-item,
.form-multiple-column[data-columncount="6"] .form-checkbox-item {
width: 16.66666667%;
}
.form-multiple-column[data-columncount="7"] .form-radio-item,
.form-multiple-column[data-columncount="7"] .form-checkbox-item {
width: 14.28571429%;
}
.form-multiple-column[data-columncount="8"] .form-radio-item,
.form-multiple-column[data-columncount="8"] .form-checkbox-item {
width: 12.5%;
}
.form-multiple-column[data-columncount="9"] .form-radio-item,
.form-multiple-column[data-columncount="9"] .form-checkbox-item {
width: 11.11111111%;
}
[data-type="control_dropdown"] .form-dropdown {
width: 100% !important;
max-width: 216px;
}
[data-type="control_fullname"] .form-sub-label-container {
-moz-box-sizing: border-box;
-webkit-box-sizing: border-box;
box-sizing: border-box;
width: 48%;
}
[data-type="control_fullname"] .form-sub-label-container:first-child {
margin-right: 4%;
}
[data-type="control_phone"] .form-sub-label-container {
width: 62.5%;
margin-left: 2.5%;
margin-right: 0;
float: left;
position: relative;
}
[data-type="control_phone"] .form-sub-label-container:first-child {
width: 32.5%;
margin-right: 2.5%;
margin-left: 0;
}
[data-type="control_phone"] .form-sub-label-container:first-child [data-component=areaCode] {
width: 93%;
float: left;
}
[data-type="control_phone"] .form-sub-label-container:first-child [data-component=areaCode] ~ .form-sub-label {
display: inline-block;
}
[data-type="control_phone"] .form-sub-label-container:first-child .phone-separate {
position: absolute;
top: 0;
right: -16%;
width: 24%;
text-align: center;
text-indent: -4px;
}
[data-type="control_birthdate"] .form-sub-label-container {
width: 22%;
margin-right: 3%;
}
[data-type="control_birthdate"] .form-sub-label-container:first-child {
width: 50%;
}
[data-type="control_birthdate"] .form-sub-label-container:last-child {
margin-right: 0;
}
[data-type="control_birthdate"] .form-sub-label-container .form-dropdown {
width: 100%;
}
[data-type="control_payment"] .form-sub-label-container {
width: auto;
}
[data-type="control_payment"] .form-sub-label-container .form-dropdown {
width: 100%;
}
.form-address-table td .form-dropdown {
width: 100%;
}
.form-address-table td .form-sub-label-container {
width: 96%;
}
.form-address-table td:last-child .form-sub-label-container {
margin-left: 4%;
}
.form-address-table td[colspan="2"] .form-sub-label-container {
width: 100%;
margin: 0;
}
/*.form-dropdown,
.form-radio-item,
.form-checkbox-item,
.form-radio-other-input,
.form-checkbox-other-input,*/
.form-captcha input,
.form-spinner input,
.form-error-message {
padding: 4px 3px 2px 3px;
}
.form-header-group {
font-family: "Lucida Grande", sans-serif;
}
.form-section {
padding: 3px 46px 3px 46px;
}
.form-header-group {
margin: 12px 36px 12px 36px;
}
.form-header-group {
padding: 24px 0px 24px 0px;
}
.form-textbox,
.form-textarea {
padding: 4px 3px 2px 3px;
}
.form-textbox,
.form-textarea {
width: 100%;
max-width: 216px;
-moz-box-sizing: border-box;
-webkit-box-sizing: border-box;
box-sizing: border-box;
}
[data-type="control_textbox"] .form-input,
[data-type="control_textarea"] .form-input,
[data-type="control_fullname"] .form-input,
[data-type="control_phone"] .form-input,
[data-type="control_datetime"] .form-input,
[data-type="control_address"] .form-input,
[data-type="control_email"] .form-input,
[data-type="control_passwordbox"] .form-input,
[data-type="control_autocomp"] .form-input,
[data-type="control_textbox"] .form-input-wide,
[data-type="control_textarea"] .form-input-wide,
[data-type="control_fullname"] .form-input-wide,
[data-type="control_phone"] .form-input-wide,
[data-type="control_datetime"] .form-input-wide,
[data-type="control_address"] .form-input-wide,
[data-type="control_email"] .form-input-wide,
[data-type="control_passwordbox"] .form-input-wide,
[data-type="control_autocomp"] .form-input-wide {
width: 100%;
max-width: 216px;
}
[data-type="control_fullname"] .form-sub-label-container {
-moz-box-sizing: border-box;
-webkit-box-sizing: border-box;
box-sizing: border-box;
width: 48%;
margin-right: 0;
float: left;
}
[data-type="control_fullname"] .form-sub-label-container:first-child {
margin-right: 4%;
}
[data-type="control_phone"] .form-sub-label-container {
width: 62.5%;
margin-left: 2.5%;
margin-right: 0;
float: left;
position: relative;
}
[data-type="control_phone"] .form-sub-label-container:first-child {
width: 32.5%;
margin-right: 2.5%;
margin-left: 0;
}
[data-type="control_phone"] .form-sub-label-container:first-child [data-component=areaCode] {
width: 93%;
float: left;
}
[data-type="control_phone"] .form-sub-label-container:first-child [data-component=areaCode] ~ .form-sub-label {
display: inline-block;
}
[data-type="control_phone"] .form-sub-label-container:first-child .phone-separate {
position: absolute;
top: 0;
right: -16%;
width: 24%;
text-align: center;
text-indent: -4px;
}
[data-type="control_phone"] .form-sub-label-container .date-separate {
visibility: hidden;
}
.form-matrix-table {
width: 100%;
max-width: 216px;
}
.form-address-table {
width: 100%;
max-width: 216px;
}
.form-address-table td .form-dropdown {
width: 100%;
}
.form-address-table td .form-sub-label-container {
width: 96%;
}
.form-address-table td:last-child .form-sub-label-container {
margin-left: 4%;
}
.form-address-table td[colspan="2"] .form-sub-label-container {
width: 100%;
margin: 0;
}
[data-type="control_dropdown"] .form-input,
[data-type="control_birthdate"] .form-input,
[data-type="control_time"] .form-input,
[data-type="control_dropdown"] .form-input-wide,
[data-type="control_birthdate"] .form-input-wide,
[data-type="control_time"] .form-input-wide {
width: 100%;
max-width: 216px;
}
[data-type="control_dropdown"] .form-dropdown {
width: 100% !important;
max-width: 216px;
}
[data-type="control_birthdate"] .form-sub-label-container {
width: 22%;
margin-right: 3%;
}
[data-type="control_birthdate"] .form-sub-label-container:first-child {
width: 50%;
}
[data-type="control_birthdate"] .form-sub-label-container:last-child {
margin-right: 0;
}
[data-type="control_birthdate"] .form-sub-label-container .form-dropdown {
width: 100%;
}
.form-label {
font-family: "Lucida Grande", sans-serif;
}
li[data-type="control_image"] div {
text-align: left;
}
li[data-type="control_image"] img {
border: none;
border-width: 0px !important;
border-style: solid !important;
border-color: false !important;
}
.form-line-column {
width: auto;
}
.form-line-error {
overflow: hidden;
-webkit-transition-property: none;
-moz-transition-property: none;
-ms-transition-property: none;
-o-transition-property: none;
transition-property: none;
-webkit-transition-duration: 0.3s;
-moz-transition-duration: 0.3s;
-ms-transition-duration: 0.3s;
-o-transition-duration: 0.3s;
transition-duration: 0.3s;
-webkit-transition-timing-function: ease;
-moz-transition-timing-function: ease;
-ms-transition-timing-function: ease;
-o-transition-timing-function: ease;
transition-timing-function: ease;
background-color: #fff4f4;
}
.form-line-error .form-error-message {
background-color: #ff3200;
clear: both;
float: none;
}
.form-line-error .form-error-message .form-error-arrow {
border-bottom-color: #ff3200;
}
.form-line-error input:not(#coupon-input),
.form-line-error textarea,
.form-line-error .form-validation-error {
border: 1px solid #ff3200;
-webkit-box-shadow: 0 0 3px #ff3200;
-moz-box-shadow: 0 0 3px #ff3200;
box-shadow: 0 0 3px #ff3200;
}
.ie-8 .form-all {
margin-top: auto;
margin-top: initial;
}
.ie-8 .form-all:before {
display: none;
}
[data-type="control_clear"] {
display: none;
}
/* | */
@media screen and (max-width: 480px), screen and (max-device-width: 767px) and (orientation: portrait), screen and (max-device-width: 415px) and (orientation: landscape) {
.testOne {
letter-spacing: 0;
}
.form-all {
border: 0;
max-width: initial;
}
.form-sub-label-container {
width: 100%;
margin: 0;
margin-right: 0;
float: left;
-moz-box-sizing: border-box;
-webkit-box-sizing: border-box;
box-sizing: border-box;
}
span.form-sub-label-container + span.form-sub-label-container {
margin-right: 0;
}
.form-sub-label {
white-space: normal;
}
.form-address-table td,
.form-address-table th {
padding: 0 1px 10px;
}
.form-submit-button,
.form-submit-print,
.form-submit-reset {
width: 100%;
margin-left: 0!important;
}
div[id*=at_] {
font-size: 14px;
font-weight: 700;
height: 8px;
margin-top: 6px;
}
.showAutoCalendar {
width: 20px;
}
img.form-image {
max-width: 100%;
height: auto;
}
.form-matrix-row-headers {
width: 100%;
word-break: break-all;
min-width: 40px;
}
.form-collapse-table,
.form-header-group {
margin: 0;
}
.form-collapse-table {
height: 100%;
display: inline-block;
width: 100%;
}
.form-collapse-hidden {
display: none !important;
}
.form-input {
width: 100%;
}
.form-label {
width: 100% !important;
}
.form-label-left,
.form-label-right {
display: block;
float: none;
text-align: left;
width: auto!important;
}
.form-line,
.form-line.form-line-column {
padding: 2% 5%;
-moz-box-sizing: border-box;
-webkit-box-sizing: border-box;
box-sizing: border-box;
}
input[type=text],
input[type=email],
input[type=tel],
textarea {
width: 100%;
-moz-box-sizing: border-box;
-webkit-box-sizing: border-box;
box-sizing: border-box;
max-width: initial !important;
}
.form-radio-other-input,
.form-checkbox-other-input {
max-width: 55% !important;
}
.form-dropdown,
.form-textarea,
.form-textbox {
width: 100%!important;
-moz-box-sizing: border-box;
-webkit-box-sizing: border-box;
box-sizing: border-box;
}
.form-input,
.form-input-wide,
.form-textarea,
.form-textbox,
.form-dropdown {
max-width: initial!important;
}
.form-checkbox-item:not(#foo),
.form-radio-item:not(#foo) {
width: 100%;
}
.form-address-city,
.form-address-line,
.form-address-postal,
.form-address-state,
.form-address-table,
.form-address-table .form-sub-label-container,
.form-address-table select,
.form-input {
width: 100%;
}
div.form-header-group {
padding: 24px 0px !important;
margin: 0 12px 2% !important;
margin-left: 5%!important;
margin-right: 5%!important;
-moz-box-sizing: border-box;
-webkit-box-sizing: border-box;
box-sizing: border-box;
}
div.form-header-group.hasImage img {
max-width: 100%;
}
[data-type="control_button"] {
margin-bottom: 0 !important;
}
[data-type=control_fullname] .form-sub-label-container {
width: 48%;
}
[data-type=control_fullname] .form-sub-label-container:first-child {
margin-right: 4%;
}
[data-type=control_phone] .form-sub-label-container {
width: 65%;
margin-right: 0;
margin-left: 0;
float: left;
}
[data-type=control_phone] .form-sub-label-container:first-child {
width: 31%;
margin-right: 4%;
}
[data-type=control_datetime] .allowTime-container {
width: 100%;
}
[data-type=control_datetime] .form-sub-label-container:first-child {
width: 10%!important;
margin-left: 0;
margin-right: 0;
}
[data-type=control_datetime] .form-sub-label-container + .form-sub-label-container {
width: 24%!important;
margin-left: 6%;
margin-right: 0;
}
[data-type=control_datetime] span + span + span > span:first-child {
display: block;
width: 100% !important;
}
[data-type=control_birthdate] .form-sub-label-container,
[data-type=control_time] .form-sub-label-container {
width: 27.3%!important;
margin-right: 6% !important;
}
[data-type=control_time] .form-sub-label-container:last-child {
width: 33.3%!important;
margin-right: 0 !important;
}
.form-pagebreak-back-container,
.form-pagebreak-next-container {
min-height: 1px;
width: 50% !important;
}
.form-pagebreak-back,
.form-pagebreak-next,
.form-product-item.hover-product-item {
width: 100%;
}
.form-pagebreak-back-container {
padding: 0;
text-align: right;
}
.form-pagebreak-next-container {
padding: 0;
text-align: left;
}
.form-pagebreak {
margin: 0 auto;
}
.form-buttons-wrapper {
margin: 0!important;
margin-left: 0!important;
}
.form-buttons-wrapper button {
width: 100%;
}
.form-buttons-wrapper .form-submit-print {
margin: 0 !important;
}
table {
width: 100%!important;
max-width: initial!important;
}
table td + td {
padding-left: 3%;
}
.form-checkbox-item,
.form-radio-item {
white-space: normal!important;
}
.form-checkbox-item input,
.form-radio-item input {
width: auto;
}
.form-collapse-table {
margin: 0 5%;
display: block;
zoom: 1;
width: auto;
}
.form-collapse-table:before,
.form-collapse-table:after {
display: table;
content: '';
line-height: 0;
}
.form-collapse-table:after {
clear: both;
}
.fb-like-box {
width: 98% !important;
}
.form-error-message {
clear: both;
bottom: -10px;
}
.date-separate,
.phone-separate {
display: none;
}
.custom-field-frame,
.direct-embed-widgets,
.signature-pad-wrapper {
width: 100% !important;
}
}
/* | */
/*__INSPECT_SEPERATOR__*/
/* Injected CSS Code */
</style>
<link type="text/css" rel="stylesheet" href="https://cdn.jotfor.ms/css/styles/buttons/form-submit-button-simple_red.css?3.3.7858"/>
<form class="jotform-form" action="https://submit.jotform.us/submit/82734491194160/" method="post" enctype="multipart/form-data" name="form_82734491194160" id="82734491194160" accept-charset="utf-8">
<input type="hidden" name="formID" value="82734491194160" />
<div class="form-all">
<ul class="form-section page-section">
<li class="form-line jf-required" data-type="control_textbox" id="id_3">
<label class="form-label form-label-left form-label-auto" id="label_3" for="input_3">
Name
<span class="form-required">
*
</span>
</label>
<div id="cid_3" class="form-input jf-required">
<input type="text" id="input_3" name="q3_Name" data-type="input-textbox" class="form-textbox validate[required]" size="20" value="" placeholder=" " data-component="textbox" required="" />
</div>
</li>
<li class="form-line jf-required" data-type="control_textbox" id="id_5">
<label class="form-label form-label-left form-label-auto" id="label_5" for="input_5">
Email Address
<span class="form-required">
*
</span>
</label>
<div id="cid_5" class="form-input jf-required">
<input type="text" id="input_5" name="q5_emailAddress" data-type="input-textbox" class="form-textbox validate[required, Email]" size="20" value="" placeholder=" " data-component="textbox" required="" />
</div>
</li>
<li class="form-line" data-type="control_phone" id="id_16">
<label class="form-label form-label-left form-label-auto" id="label_16" for="input_16_area"> Phone Number </label>
<div id="cid_16" class="form-input">
<div data-wrapper-react="true">
<span class="form-sub-label-container" style="vertical-align:top">
<input type="tel" id="input_16_area" name="q16_phoneNumber[area]" class="form-textbox" size="3" value="" data-component="areaCode" />
<span class="phone-separate">
-
</span>
<label class="form-sub-label" for="input_16_area" id="sublabel_area" style="min-height:13px"> Area Code </label>
</span>
<span class="form-sub-label-container" style="vertical-align:top">
<input type="tel" id="input_16_phone" name="q16_phoneNumber[phone]" class="form-textbox" size="8" value="" data-component="phone" />
<label class="form-sub-label" for="input_16_phone" id="sublabel_phone" style="min-height:13px"> Phone Number </label>
</span>
</div>
</div>
</li>
<li class="form-line" data-type="control_dropdown" id="id_12">
<label class="form-label form-label-left form-label-auto" id="label_12" for="input_12"> Annual Salary + </label>
<div id="cid_12" class="form-input">
<select class="form-dropdown" id="input_12" name="q12_annualSalary" style="width:150px" data-component="dropdown">
<option value=""> </option>
<option value="$150k+"> $150k+ </option>
<option value="$200k+"> $200k+ </option>
<option value="$250k+"> $250k+ </option>
<option value="$300k+"> $300k+ </option>
<option value="$500k+"> $500k+ </option>
</select>
</div>
</li>
<li class="form-line" data-type="control_dropdown" id="id_17">
<label class="form-label form-label-left form-label-auto" id="label_17" for="input_17"> Amenable to Fee </label>
<div id="cid_17" class="form-input">
<select class="form-dropdown" id="input_17" name="q17_amenableTo" style="width:150px" data-component="dropdown">
<option value=""> </option>
<option value="Yes"> Yes </option>
<option value="No"> No </option>
</select>
</div>
</li>
<li class="form-line" data-type="control_textarea" id="id_18">
<label class="form-label form-label-left form-label-auto" id="label_18" for="input_18"> Other Info - Geography Pref/ Industry Targets </label>
<div id="cid_18" class="form-input">
<textarea id="input_18" class="form-textarea" name="q18_otherInfo" cols="40" rows="6" data-component="textarea"></textarea>
</div>
</li>
<li class="form-line" data-type="control_fileupload" id="id_7">
<label class="form-label form-label-left form-label-auto" id="label_7" for="input_7"> Upload Resume Here </label>
<div id="cid_7" class="form-input">
<input type="file" id="input_7" name="q7_uploadResume" class="form-upload" data-imagevalidate="yes" data-file-accept="pdf, doc, docx, xls, csv, txt, rtf, html, zip, mp3, wma, mpg, flv, avi, jpg, jpeg, png, gif" data-file-maxsize="10240" data-file-minsize="0" data-file-limit="0" data-component="fileupload" />
</div>
</li>
<li class="form-line" data-type="control_button" id="id_15">
<div id="cid_15" class="form-input-wide">
<div style="text-align:left" class="form-buttons-wrapper">
<button id="input_15" type="submit" class="form-submit-button form-submit-button-simple_red" data-component="button">
Submit
</button>
</div>
</div>
</li>
<li style="display:none">
Should be Empty:
<input type="text" name="website" value="" />
</li>
</ul>
</div>
<script>
JotForm.showJotFormPowered = "0";
</script>
<input type="hidden" id="simple_spc" name="simple_spc" value="82734491194160" />
<script type="text/javascript">
document.getElementById("si" + "mple" + "_spc").value = "82734491194160-82734491194160";
</script>
</form>
<script type="text/javascript">JotForm.ownerView=true;</script>