<?php
include("global.inc.php");
$errors=0;
$error="The following errors occured while processing your form input.<ul>";
pt_register('POST','FirstName');
pt_register('POST','LastName');
pt_register('POST','Address');
pt_register('POST','CityStateZip');
pt_register('POST','Phone');
pt_register('POST','Email');
pt_register('POST','Typeofemploymentdesired');
pt_register('POST','Dateavailableforwork');
pt_register('POST','Haveyoubeenconvictedofafelonywithinthelast7years');
pt_register('POST','Haveyoubeenconvictedofamovingviolationwithinthepast5years');
pt_register('POST','AreyoulegallyeligibleforemploymentintheUnitedStates');
pt_register('POST','Haveyoueverbeendismissedorfiredfromanyjob');
pt_register('POST','DoyouhaveavalidDriversLicense');
pt_register('POST','DriversLicensenumber');
pt_register('POST','CurrentJobCompanyName');
pt_register('POST','CurrentAddress');
pt_register('POST','CurentCityStateZip');
pt_register('POST','CurrentPhone');
pt_register('POST','PresviousEmploymentCoName');
pt_register('POST','PreviousAddress');
pt_register('POST','PrseviousCityStateZip');
pt_register('POST','PrseviousPhone');
pt_register('POST','2ndpreviousCoName');
pt_register('POST','2ndAddress');
pt_register('POST','2ndCityStateZip');
pt_register('POST','2ndPhone');
pt_register('POST','Areyouacertifiedcaregiver');
$CaregiverCertification=$HTTP_POST_FILES['CaregiverCertification'];
$CPRFIRSTAID=$HTTP_POST_FILES['CPRFIRSTAID'];
$FingerprintCard=$HTTP_POST_FILES['FingerprintCard'];
pt_register('POST','OtherCertifications');
$OtherCertifications=preg_replace("/(\015\012)|(\015)|(\012)/","&nbsp;<br />", $OtherCertifications);$CurrentResume=$HTTP_POST_FILES['CurrentResume'];
$UploadCertifications=$HTTP_POST_FILES['UploadCertifications'];
pt_register('POST','HighSchoolAttendedNameAddressPhone');
$HighSchoolAttendedNameAddressPhone=preg_replace("/(\015\012)|(\015)|(\012)/","&nbsp;<br />", $HighSchoolAttendedNameAddressPhone);pt_register('POST','Referencenameaddressphone');
$Referencenameaddressphone=preg_replace("/(\015\012)|(\015)|(\012)/","&nbsp;<br />", $Referencenameaddressphone);pt_register('POST','2ndReferencenameaddressphone');
$2ndReferencenameaddressphone=preg_replace("/(\015\012)|(\015)|(\012)/","&nbsp;<br />", $2ndReferencenameaddressphone);pt_register('POST','Besttimetocall');
pt_register('POST','Signature');
if($FirstName=="" || $LastName=="" || $Address=="" || $CityStateZip=="" || $Phone=="" || $Email=="" || $Typeofemploymentdesired=="" || $Dateavailableforwork=="" ||