Application for User Account

<form name="Application" method="email" target="apply@bsodwiki.com" email="Your Email" sender="web@domain.com" submit="Send Application" reset="Reset">

   hidden: name="applyform" value="additional info"
   text:* name="email2" prompt="Confirm Your Email"
   text:* name="name" prompt="Your Name"
   textarea: name="description" prompt="Breifly describe your computer experience" rows="30" cols="80"
   select: name="jobtitle" prompt="Primary Job Function" option="Support Desk" option="Computer Tech" option="Member of I.T." option="Other"
   select: name="experience" prompt="Years in IT or Support" option="Less then 5 years" option="5 to 10 years" option="More then 10 years"

</form>