<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN"
"
http://www.w3.org/TR/html4/loose.dtd">
<html>
<head>
<script type="text/javascript">
<!--
function validate_form ( )
{
valid = true;
if ( document.studentinfo.firstname.value == "" )
{
alert ( "Please fill in the 'First Name' box." );
valid = false;
}
return valid;
}
//-->
</script>
<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1">
<title>GemmaLab07</title>
<style type="text/css">
<!--
body {
background-color: #CCCCCC;
}
.style1 {
font-family: "Times New Roman", Times, serif;
font-size: 36px;
}
body,td,th {
font-weight: bold;
}
-->
</style></head>
<body>
<div align="center">
<p class="style1">MSIS643 Student Information Form</p>
<form action="
http://www.jjswebdev.com/echoform.php" method="post" enctype="text/plain" name="studentinfo" id="studentinfo">
<table width="113%" border="4" align="left" cellpadding="3" cellspacing="0" bordercolor="#999999" bgcolor="#FFCC99">
<tr>
<td width="48%" height="58">
<div align="left">
<label>First name:
<input name="firstname" type="text" id="firstname" size="30">
</label>
</div></td>
<td width="52%"><div align="left">
<label> Bryant Student ID#
<input name="id" type="text" id="id" size="15" maxlength="9">
</label>
</div></td>
</tr>
<tr>
<td height="56"><div align="left">
<label> Last name:
<input name="lastname" type="text" id="lastname" size="30">
</label>
</div></td>
<td><div align="left">
<label> Email:
<input name="email" type="text" id="email" size="30">
</label>
</div></td>
</tr>
<tr>
<td height="57"><p align="left">Number of MSIS Courses Completed:
<select name="select">
<option value="Select #">Select #</option>
<option value="1-3">1-3</option>
<option value="4-6">4-6</option>
<option value="7-9">7-9</option>
<option value="more than 9">more than 9</option>
</select>
</p>
</td>
<td><div align="left">
<label>Select Password (6 chars max):
<input name="password" type="password" id="password" maxlength="6">
</label>
</div></td>
</tr>
<tr>
<td height="96" valign="top"><div align="left"><br>
Grade for course Prerequisite MSIS641: <br>
<br>
<table width="60%" border="1" align="center" cellpadding="2" cellspacing="10" bgcolor="#009999">
<tr>
<td width="53%" height="50"><p>
<label>
<input type="radio" name="Grade" value="A / AB">
A / AB</label>
<br>
<label>
<input type="radio" name="Grade" value="B / BC">
B / BC</label>
<br>
</p></td>
<td width="47%"><p>
<label>
<input type="radio" name="Grade" value="C">
C</label>
<br>
<label>
<input type="radio" name="Grade" value="F">
F</label>
<br>
</p></td>
</tr>
</table>
<br>
</div></td>
<td valign="top"><div align="left"><br>
Computer/OS experience: (check all that apply)<br>
<br>
<label> <input name="experience" type="checkbox" id="experience" value="Windows">
PC/Windows</label>
<br>
<label> <input name="experience" type="checkbox" id="experience" value="Linux">
PC/Linux</label>
<br>
<label> <input name="experience" type="checkbox" id="experience" value="MAC">
Mac/MacOS</label>
<br>
<label> <input name="experience" type="checkbox" id="experience" value="Sun">
Sun/Solaris</label>
<br>
<br>
</div></td>
</tr>
<tr valign="top">
<td height="104" colspan="2"><div align="left"><br>
Tell me a little about your interests and hobbies:
<label>
<br>
<br>
<textarea name="interests" cols="120" rows="5" id="interests"></textarea>
<br>
</label></div></td>
</tr>
<tr bgcolor="#CCCCCC">
<td>
<div align="right">
<label>
<input type="submit" name="Submit" value="Submit Form">
</label>
</div></td>
<td>
<div align="left">
<input name="Reset" type="reset" value="Reset Form">
</div></td>
</tr>
</table>
</form>
<p> </p>
</div>
</body>
</html>