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<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<title>Application Form</title>
<style>
body {
font-family: Arial, sans-serif;
margin: 0;
padding: 0;
background-color: #f4f4f4;
display: flex;
justify-content: center;
align-items: center;
height: 100vh;
}
.form-container {
background-color: white;
padding: 20px;
border-radius: 10px;
box-shadow: 0 4px 8px rgba(0, 0, 0, 0.1);
width: 400px;
}
.form-container h2 {
text-align: center;
margin-bottom: 20px;
}
.form-group {
margin-bottom: 15px;
}
.form-group label {
display: block;
font-weight: bold;
}
.form-group input, .form-group select {
width: 100%;
padding: 8px;
margin-top: 5px;
border: 1px solid #ccc;
border-radius: 5px;
}
.form-group input[type="radio"] {
width: auto;
}
.form-group input[type="checkbox"] {
width: auto;
}
.form-group .languages {
display: flex;
flex-direction: column;
}
.form-actions {
text-align: center;
}
.form-actions input {
padding: 10px 20px;
margin: 5px;
background-color: #4CAF50;
color: white;
border: none;
border-radius: 5px;
cursor: pointer;
}
.form-actions input[type="reset"] {
background-color: #f44336;
}
.form-actions input:hover {
opacity: 0.9;
}
</style>
</head>
<body>
<div class="form-container">
<h2>Application Form</h2>
<form>
<div class="form-group">
<label for="first-name">First Name:</label>
<input type="text" id="first-name" name="first-name" required>
</div>
<div class="form-group">
<label for="last-name">Last Name:</label>
<input type="text" id="last-name" name="last-name" required>
</div>
<div class="form-group">
<label for="dob">Date of Birth:</label>
<input type="date" id="dob" name="dob" required>
</div>
<div class="form-group">
<label for="age">Age:</label>
<input type="number" id="age" name="age" required>
</div>
<div class="form-group">
<label>Gender:</label>
<label for="male"><input type="radio" id="male" name="gender" value="Male" required> Male</label>
<label for="female"><input type="radio" id="female" name="gender" value="Female"> Female</label>
</div>
<div class="form-group">
<label for="email">Email Address:</label>
<input type="email" id="email" name="email" required>
</div>
<div class="form-group">
<label>Positions Available:</label>
<label for="junior"><input type="checkbox" id="junior" name="position" value="Junior Developer"> Junior Developer</label>
<label for="mid-level"><input type="checkbox" id="mid-level" name="position" value="Mid-level Developer"> Mid-level Developer</label>
<label for="senior"><input type="checkbox" id="senior" name="position" value="Senior Developer"> Senior Developer</label>
</div>
<div class="form-group languages">
<label>Programming Languages:</label>
<label for="java"><input type="checkbox" id="java" name="language" value="Java"> Java</label>
<label for="javascript"><input type="checkbox" id="javascript" name="language" value="JavaScript"> JavaScript</label>
<label for="python"><input type="checkbox" id="python" name="language" value="Python"> Python</label>
</div>
<div class="form-group">
<label for="password">Password:</label>
<input type="password" id="password" name="password" required>
</div>
<div class="form-group">
<label for="confirm-password">Confirm Password:</label>
<input type="password" id="confirm-password" name="confirm-password" required>
</div>
<div class="form-actions">
<input type="submit" value="Submit">
<input type="reset" value="Reset">
</div>
</form>
</div>
</body>
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