<?php
require_once("header.php");
echo $page_content;

echo <<<EOJ
<p class="noscript">Your browser doesn&rsquo;t support board member application form. Please use another browser.</p>
<form action="{$baseurl}{$filename}" method="post" name="boardmemberapplicationform" class="fluid form ajax-form" enctype="multipart/form-data">
	<input type="hidden" name="focus" value="{$en->encrypt('[JOIN_EDITORIAL]')}" autocomplete="off" readonly="readonly" />
	<input type="hidden" name="zipcode" value="" readonly />
	<div class="body">
		<div class="row">
			<label class="flbl">Position<span>*</span></label>
			<select name="position" class="field field-select">
				<option value="" selected="selected">Select Applied for</option>
				<option value="Associate Editors">Associate Editor</option>
				<option value="Assistant Editors">Assistant Editor</option>
			</select>
		</div>
		<div class="row">
			<div class="fl">
				<label class="flbl">Full Name<span>*</span></label>
				<input type="text" name="name" autocomplete="off" class="field" />
			</div>
			<div class="fr">
				<label class="flbl">Email<span>*</span></label>
				<input type="text" name="email" autocomplete="off" class="field" />
			</div>
		</div>
		<div class="row">
			<label class="flbl">Phone<span>*</span></label>
			<input type="text" name="phone" autocomplete="off" class="field phone" />
		</div>
		<div class="row">
			<label class="flbl">Degree<span>*</span></label>
			<input type="text" name="degree" autocomplete="off" class="field" />
		</div>
		<div class="row">
			<label class="flbl" style="clear:both;">Current Position <span>*</span></label>
			<input type="text" name="post" autocomplete="off" class="field" />
		</div>
		<div class="row">
			<label class="flbl">Department & College<span>*</span></label>
			<textarea rows="5" cols="5" name="dept" autocomplete="off" class="field field-text"></textarea>
		</div>
		<div class="row">
			<div class="fl">
				<label class="flbl">Attach Photo<span>*</span></label>
				<input type="file" name="photo" autocomplete="off" class="field field-file" />
			</div>
			<div class="fr">
				<label class="flbl">Attach Resume<span>*</span></label>
				<input type="file" name="resume" autocomplete="off" class="field field-file" />
			</div>
		</div>
		<div class="row">
			<div class="g-recaptcha" data-sitekey="6LcIno4UAAAAANlGPeqmGb059VoAdHU-LN9yu8Jq"></div>
		</div>
		<div class="row">
			<input type="submit" name="submit" value="submit" disabled="disabled" class="button" />
			<div class="loader">Please Wait...</div>
		</div>
	</div>
</form>
<div class="output"></div>
EOJ;
require_once("footer.php");
?>