Created
October 4, 2023 22:52
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<form method="POST" action="https://forms.reform.app/headless/s2Aazx/customer-success-application/71t642/submissions"> | |
<div> | |
<label for="f8d5111a-10e2-44b1-9b07-70d5083ec5a6">What's your name?</label> | |
<input | |
type="text" | |
id="f8d5111a-10e2-44b1-9b07-70d5083ec5a6" | |
name="answers[f8d5111a-10e2-44b1-9b07-70d5083ec5a6]" | |
placeholder="Jane Smith" | |
required | |
/> | |
</div> | |
<div> | |
<label for="4f1e9ba3-4b64-47c1-bcf3-4b7f611d91d2">What's your email?</label> | |
<input | |
type="email" | |
id="4f1e9ba3-4b64-47c1-bcf3-4b7f611d91d2" | |
name="answers[4f1e9ba3-4b64-47c1-bcf3-4b7f611d91d2]" | |
placeholder="[email protected]" | |
required | |
/> | |
</div> | |
<div> | |
<label for="d6ea4d95-5481-4757-8129-c68cbc80d28a">What's your phone number?</label> | |
<input | |
type="tel" | |
id="d6ea4d95-5481-4757-8129-c68cbc80d28a" | |
name="answers[d6ea4d95-5481-4757-8129-c68cbc80d28a]" | |
placeholder="(111) 222-3333" | |
required | |
/> | |
</div> | |
<div> | |
<label for="940c2c26-f302-416d-a3ce-cf8767e37876">LinkedIn</label> | |
<input | |
type="url" | |
id="940c2c26-f302-416d-a3ce-cf8767e37876" | |
name="answers[940c2c26-f302-416d-a3ce-cf8767e37876]" | |
required | |
/> | |
</div> | |
<div> | |
<label for="cb2e94fd-4a28-4e5c-bcbb-7674baeb48b1">What is your current job?</label> | |
<input | |
type="text" | |
id="cb2e94fd-4a28-4e5c-bcbb-7674baeb48b1" | |
name="answers[cb2e94fd-4a28-4e5c-bcbb-7674baeb48b1]" | |
required | |
/> | |
</div> | |
<div> | |
<label for="8126f1b6-9ab4-4c90-99c9-b9ca1d9794f6">How many years experience?</label> | |
<input | |
type="text" | |
id="8126f1b6-9ab4-4c90-99c9-b9ca1d9794f6" | |
name="answers[8126f1b6-9ab4-4c90-99c9-b9ca1d9794f6]" | |
required | |
/> | |
</div> | |
<div> | |
<label for="1b3df875-75de-4d93-adef-5dddacdbde9e">What is your superpower?</label> | |
<textarea | |
id="1b3df875-75de-4d93-adef-5dddacdbde9e" | |
name="answers[1b3df875-75de-4d93-adef-5dddacdbde9e]" | |
required | |
></textarea> | |
</div> | |
<fieldset> | |
<legend>Would you be willing to relocate to Birmingham, AL?</legend> | |
<div> | |
<input | |
type="radio" | |
id="53ced4de-ac88-498a-b96a-f8afa327c638" | |
name="answers[d68a3608-f4d8-4f2b-b296-5e4825a98661]" | |
value="Yes" | |
required | |
/> | |
<label for="53ced4de-ac88-498a-b96a-f8afa327c638">Yes</label> | |
</div> | |
<div> | |
<input | |
type="radio" | |
id="43ea2acd-d3f3-4f1b-b548-aa83e12ee477" | |
name="answers[d68a3608-f4d8-4f2b-b296-5e4825a98661]" | |
value="No" | |
required | |
/> | |
<label for="43ea2acd-d3f3-4f1b-b548-aa83e12ee477">No</label> | |
</div> | |
</fieldset> | |
<div> | |
<label for="5766dbf7-9553-4e57-a05a-6fa585c3239d">Link to your resume</label> | |
<input | |
type="url" | |
id="5766dbf7-9553-4e57-a05a-6fa585c3239d" | |
name="answers[5766dbf7-9553-4e57-a05a-6fa585c3239d]" | |
required | |
/> | |
</div> | |
<button type="submit">Submit</button> | |
</form> |
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