okay here goes! Thanks for the willingness!!! Please excure the formatting....
<html>
<head>
<title>Application</title>
<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1">
<script language=javascript>
function validate()
{
x = document.myForm ;
if (x.First_Name.value == ""

{
alert ("Please enter your first name."

;
x.First_Name.focus()
return;
}
if (x.Last_Name.value == ""

{
alert ("Please enter your last name."

;
x.form.Last_Name.focus()
return;
}
if (x.Street_Address.value == ""

{
alert ("Please enter your street address."

;
x.form.Street_Address.focus()
return;
}
if (x.City.value == ""

{
alert ("Please enter your city."

;
x.form.City.focus()
return;
}
if (x.State.value == ""

{
alert ("Please enter a state."

;
x.State.focus()
return;
}
if (x.State.value.indexOf('Other') != -1 && x.Other_State.value == ""

{
alert ("Please enter a state."

;
x.Other_State.focus()
return;
}
if (x.Zip.value == ""

{
alert ("Please enter your zip code."

;
x.Zip.focus()
return;
}
if (x.Country.value == ""

{
alert ("Please enter a country."

;
x.Country.focus()
return;
}
if (x.Country.value.indexOf('Other') != -1 && x.Other_Country.value == ""

{
alert ("Please enter a country."

;
x.Other_Country.focus()
return;
}
if (x.Phone_Number.value.length < 9)
{
alert ("Please enter your phone number."

;
x.Phone_Number.focus()
return;
}
if (x.Email.value.indexOf('@')==-1 ||
x.Email.value.indexOf('.')==-1)
{
alert ("Please enter an e-mail address."

;
x.Email.focus()
return;
}
if (x.Email.value == ""

{
alert ("Please enter your e-mail address."

;
x.Email.focus()
return;
}
if (x.SSN.value.length != 9)
{
alert ("Please enter your social security number."

;
x.SSN.focus()
return;
}
myOption = -1;
for (i=0; i< x.program.length; i++)
{
if (x.program
.checked)
{
myOption = i;
}
}
if (myOption == -1)
{
alert("You must select a Certificate Program."
;
x.program[0].focus()
return false;
}
myOption2 = -1
for (i2=0; i2< x.startDate.length; i2++)
{
if (x.startDate[i2].checked)
{
myOption2 = i2;
}
}
if (myOption2 == -1)
{
alert("You must select a starting date."
;
x.startDate[0].focus()
return false;
}
if (x.High_School.value == ""
{
alert ("Please enter your high school information."
;
x.High_School.focus()
return;
}
if (x.Current_Last_Job.value == ""
{
alert ("Please enter your job info."
;
x.Current_Last_Job.focus()
return;
}
if (x.Heard_About.value == ""
{
alert ("Please enter how you heard of us."
;
x.Heard_About.focus()
return;
}
myOption3 = -1
for (i3=0; i3< x.Program_Efficiency.length; i3++)
{
if (x.Program_Efficiency[i3].checked)
{
myOption3 = i3;
}
}
if (myOption3 == -1)
{
alert("Please enter your technical assessment ."
;
x.Program_Efficiency[0].focus()
return false;
}
myOption4 = -1;
for (i=0; i< x.PC_based.length; i++)
{
if (x.PC_based.checked)
{
myOption4 = i;
}
}
if (myOption4 == -1)
{
alert("You must select your PC Based skill level."
;
x.PC_based[0].focus()
return false;
}
myOption5 = -1;
for (i=0; i< x.Mac_based.length; i++)
{
if (x.Mac_based.checked)
{
myOption5 = i;
}
}
if (myOption5 == -1)
{
alert("You must select your Mac Based skill level."
;
x.Mac_based[0].focus()
return false;
}
myOption6 = -1;
for (i=0; i< x.Photoshop.length; i++)
{
if (x.Photoshop.checked)
{
myOption6 = i;
}
}
if (myOption6 == -1)
{
alert("You must select your Photoshop skill level."
;
x.Photoshop[0].focus()
return false;
}
myOption7 = -1;
for (i=0; i< x.Illustrator.length; i++)
{
if (x.Illustrator.checked)
{
myOption7 = i;
}
}
if (myOption7 == -1)
{
alert("You must select your Illustrator skill level."
;
x.Illustrator[0].focus()
return false;
}
myOption8 = -1;
for (i=0; i< x.ImageReady.length; i++)
{
if (x.ImageReady.checked)
{
myOption8 = i;
}
}
if (myOption8 == -1)
{
alert("You must select your ImageReady skill level."
;
x.ImageReady[0].focus()
return false;
}
myOption9 = -1;
for (i=0; i< x.Dreamweaver.length; i++)
{
if (x.Dreamweaver.checked)
{
myOption9 = i;
}
}
if (myOption9 == -1)
{
alert("You must select your Dreamweaver skill level."
;
x.Dreamweaver[0].focus()
return false;
}
myOption10 = -1;
for (i=0; i< x.Fireworks.length; i++)
{
if (x.Fireworks.checked)
{
myOption10 = i;
}
}
if (myOption10 == -1)
{
alert("You must select your Fireworks skill level."
;
x.Fireworks[0].focus()
return false;
}
myOption11 = -1;
for (i=0; i< x.Flash.length; i++)
{
if (x.Flash.checked)
{
myOption11 = i;
}
}
if (myOption11 == -1)
{
alert("You must select your Flash skill level."
;
x.Flash[0].focus()
return false;
}
myOption12 = -1;
for (i=0; i< x.HTML.length; i++)
{
if (x.HTML.checked)
{
myOption12 = i;
}
}
if (myOption12 == -1)
{
alert("You must select your HTML skill level."
;
x.HTML[0].focus()
return false;
}
myOption13 = -1;
for (i=0; i< x.JavaScript.length; i++)
{
if (x.JavaScript.checked)
{
myOption13 = i;
}
}
if (myOption13 == -1)
{
alert("You must select your JavaScript skill level."
;
x.JavaScript[0].focus()
return false;
}
myOption14 = -1;
for (i=0; i< x.Quark.length; i++)
{
if (x.Quark.checked)
{
myOption14 = i;
}
}
if (myOption14 == -1)
{
alert("You must select your Quark skill level."
;
x.Quark[0].focus()
return false;
}
x.submit()
}
</script>
</head>
<body leftmargin="0" topmargin="0" marginwidth="0" marginheight="0">
<form name="myForm" action="MAILTO:noone@nowhere.com?subject=The Art Institute of Colorado CPD Application" method="post" enctype="text/plain" onsubmit="return validate()">
<table border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="1" height="184" valign="top"> </td>
<td width="623" height="184" valign="top">
<table border=0 width="665" cellpadding="4">
<tr>
<td valign="middle" width="72" align="left">
<p align="left"><b>First Name:</b></p>
</td>
<td width="352">
<input type="Text" size="15" name="First_Name">
</td>
<td width="60"><b>Last Name:</b></td>
<td width="209">
<input type="Text" size="15" name="Last_Name">
</td>
</tr>
<tr>
<td valign="middle" width="72" align="left"><b>Address: </b></td>
<td colspan="3">
<input type="Text" name="Street_Address" size="30">
</td>
</tr>
<tr>
<td valign="middle" width="72" align="left" height="2"><b>City: </b></td>
<td colspan="3" height="2">
<input type="Text" name="City" size="20">
</td>
</tr>
<tr>
<td valign="middle" width="72" align="left"><b>State: </b></td>
<td width="352" valign="bottom">
<select name="State">
<option value="" selected>select state</option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="DC">Washington, DC</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
<option value="Other">Other</option>
</select>
<font face="Arial, Helvetica, sans-serif" size="1"> </font></td>
<td width="60" valign="middle" align="left">
<div align="left"><b>Other State: </b></div>
</td>
<td width="209" valign="right">
<input type="text" name="Other_State" size="10">
</td>
</tr>
<tr>
<td valign="middle" width="72" align="left"><b>Zip:</b></td>
<td colspan="3">
<input type="Text" name="Zip" size="10">
</td>
</tr>
<tr>
<td valign="middle" width="72" align="left"><b>Country:</b></td>
<td valign="bottom" width="352">
<select name="Country">
<option value="" selected>select country</option>
<option value="U.S.">U.S.</option>
<option value="Other">Other</option>
</select>
<font face="Arial, Helvetica, sans-serif" size="1"> </font></td>
<td valign="middle" align="left" width="60"><b>Other Country:</b></td>
<td valign="bottom" width="209">
<input type=Text name=Other_Country size=12>
</td>
</tr>
<tr>
<td valign="middle" width="72" align="left"><b>Phone:</b></td>
<td valign="top" colspan="3">
<input type="Text" name="Phone_Number" size="12">
</td>
</tr>
<tr>
<td valign="middle" width="72" align="left"><b>E-Mail:</b></td>
<td width="352">
<input type="Text" name="Email" size="30">
</td>
<td width="60"><b>Social Security:</b></td>
<td width="209">
<input type="Text" name="SSN" size="30">
</td>
</tr>
<tr>
<td valign=middle width="72" align="right"> </td>
<td valign=middle colspan="3"><br>
<b>2. Certificate
Program in which you are enrolling: </b><br>
<br>
<input type="radio" name="program" value="Advanced Web Site Programming">
<b>Advanced Web Site Programming</b>; Five, 5-week courses (25 weeks)
<br>
<input type="radio" name="program" value="Web Site Development">
<b>Web Site Development</b>; Five, 5-week courses (25 weeks)
<br>
<input type="radio" name="program" value="Digital Graphic Design">
<b>Digital Graphic Design</b>; Five, 5-week courses (25 weeks) <br>
<input type="radio" name="program" value="Digital Photography">
<b>Digital Photography</b>; Five, 5-week courses (25 weeks)<br>
<input type="radio" name="program" value="Multimedia">
<b>Multimedia</b>; Five, 5-week courses (25 weeks) <br>
<input type="radio" name="program" value="3D Animation Principles and Techniques">
<b>3D Animation Principles and Techniques</b>; Five, 5-week courses
(25 weeks)</td>
</tr>
<tr>
<td valign=middle width="72" align="right"> </td>
<td valign=middle colspan="3"> <b><br>
3. Check Starting Date:</b><br>
<br>
<table width="50%" border="0">
<tr>
<td>
<input type="radio" name="startDate" value="April 1, 2002">
April 1, 2002</td>
<td>
<input type="radio" name="startDate" value="July 8, 2002">
July 8, 2002</td>
</tr>
<tr>
<td>
<input type="radio" name="startDate" value="October 7, 2002">
October 7, 2002</td>
<td>
<input type="radio" name="startDate" value="January 6, 2003">
January 6, 2003 </td>
</tr>
</table>
</td>
</tr>
<tr>
<td valign=middle width="72" align="right"> </td>
<td valign=middle colspan="3"> <b><br>
4. Financial Information for all Certificate Programs:</b>
<p> </p>
<table width="70%" border="1">
<tr>
<td width="49%">Tuition/ Application:</td>
<td width="51%" align="right">$3,400.00</td>
</tr>
<tr>
<td width="49%">Registration Fee:</td>
<td width="51%" align="right">$50.00</td>
</tr>
<tr>
<td width="49%"><b>Total (Tuition and Fees):</b></td>
<td width="51%" align="right"><b>$3,450.00</b></td>
</tr>
<tr>
<td width="49%">Textbooks:</td>
<td width="51%" align="right">$200.00</td>
</tr>
<tr>
<td width="49%">Supplies:</td>
<td width="51%" align="right">$300.00</td>
</tr>
<tr>
<td width="49%"><b>Total (Textbooks and Supplies):</b></td>
<td width="51%" align="right"><b>$500.00</b></td>
</tr>
</table>
<br>
Optional expenses: Although no specific copmuter software is required,
perticipants who wish to purchase software can do so through the
school at a discounted rate. </td>
</tr>
<tr>
<td valign=top width="72" align="right" height="216">
<p><br>
<br>
<br>
</p>
</td>
<td valign=middle colspan="3" height="216">
<table width="100%" border="0">
<tr>
<td width="24%"><b>5. Education</b></td>
<td width="76%"><b>School Name/ Major Course of Stud / Degree/ <br>
Dates Attended or Graduated</b></td>
</tr>
<tr>
<td width="24%">High School:</td>
<td width="76%">
<input type="text" name="High_School" size="50">
</td>
</tr>
<tr>
<td width="24%">College:</td>
<td width="76%">
<input type="text" name="College" size="50">
</td>
</tr>
<tr>
<td width="24%">Grad Schools:</td>
<td width="76%">
<input type="text" name="Grad_School" size="50">
</td>
</tr>
<tr>
<td width="24%">Other: </td>
<td width="76%">
<input type="text" name="Other_School" size="50">
</td>
</tr>
</table>
</td>
</tr>
<tr>
<td valign=top width="72" align="right" height="196">
<p><br>
<br>
<br>
</p>
</td>
<td valign=middle colspan="3" height="196"> Please describe your employment
history starting with your current <br>
or most recent employer.<br>
<table width="100%" border="0">
<tr>
<td width="24%"><b>6.</b></td>
<td width="76%"><b>Name of Employer/ Position Held/ Dates from/
to</b></td>
</tr>
<tr>
<td width="24%"><b>Most Recent or Current:</b></td>
<td width="76%">
<input type="text" name="Current_Last_Job" size="50">
</td>
</tr>
<tr>
<td width="24%">2nd:</td>
<td width="76%">
<input type="text" name="Job_2" size="50">
</td>
</tr>
<tr>
<td width="24%">3rd:</td>
<td width="76%">
<input type="text" name="Job_3" size="50">
</td>
</tr>
</table>
</td>
</tr>
<tr>
<td width="72"> <br>
</td>
<td width="352" colspan="3">
<p><br>
<b>7. How did you hear about the Center for Professional Development?</b></p>
<p>
<input type="text" name="Heard_About" size="75">
</p>
</td>
</tr>
<tr>
<td width="72" height="335"> <br>
</td>
<td width="352" colspan="3" height="335">
<p><br>
<b>8. Technical Assessment and Admissions Requirements</b>-<br>
Certificate program admissions requirements include working knowledge
of computer applications and some of the following software programs.
Specific admissions requirements by certificate program are as
follows: (Please check the program you are applying for)</p>
<table width="97%">
<tr>
<td width="5%">
<input type="radio" name="Program_Efficiency" value="Advanced Web Site Programming">
</td>
<td width="95%" align="right">
<div align="left"><b>Advanced Web Site Programming</b> - Minmum
skill level; Fundamental knowledge in computer applications
(A or B below)</div>
</td>
</tr>
<tr>
<td width="5%">
<input type="radio" name="Program_Efficiency" value="Web Site Development">
</td>
<td width="95%" align="right">
<div align="left"><b>Web Site Development</b> - Minmum skill
level; Fundamental knowledge in computer applications (A
or B below)</div>
</td>
</tr>
<tr>
<td width="5%">
<input type="radio" name="Program_Efficiency" value="Digital Graphic Design">
</td>
<td width="95%" align="right">
<div align="left"><b>Digital Graphic Design</b> - Minmum skill
level; Fundamental knowledge in computer applications (A
or B below)</div>
</td>
</tr>
<tr>
<td width="5%">
<input type="radio" name="Program_Efficiency" value="Digital Photography">
</td>
<td width="95%" align="right">
<div align="left"><b>Digital Photography</b> - Minmum skill
level; Fundamental knowledge in computer applications (A
or B below)</div>
</td>
</tr>
<tr>
<td width="5%">
<input type="radio" name="Program_Efficiency" value="Multimedia">
</td>
<td width="95%" align="right">
<div align="left"><b>Multimedia</b> - Minimum skill level:
Proficient in Photoshop</div>
</td>
</tr>
<tr>
<td width="5%">
<input type="radio" name="Program_Efficiency" value="3D Animation Principles and Techniques">
</td>
<td width="95%" align="right">
<div align="left"><b>3D Animation Principles and Techniques</b>
- Minimum skill level: Proficient in Photoshop</div>
</td>
</tr>
</table>
<p> </p>
</td>
</tr>
<tr>
<td width="72"> <br>
</td>
<td width="352" colspan="3">
<p>Please identify your skill level of the copmuter applications
and software listed below.<br>
Check each box as appropriate. Complete all sections.<br>
</p>
<table width="100%" border="0">
<tr>
<td width="36%"><b>9. Skill</b></td>
<td width="16%"><b>No Experience</b></td>
<td width="19%"><b>Fundamental Knowledge</b></td>
<td width="16%"><b>Proficient</b></td>
<td width="13%"><b>Expert</b></td>
</tr>
<tr>
<td width="36%">a. Computer Apps. (PC-based)</td>
<td width="16%">
<input type="radio" name="PC_based" value="No Experience">
</td>
<td width="19%">
<input type="radio" name="PC_based" value="Fundamental Knowledge">
</td>
<td width="16%">
<input type="radio" name="PC_based" value="Proficient">
</td>
<td width="13%">
<input type="radio" name="PC_based" value="Expert">
</td>
</tr>
<tr>
<td width="36%">b. Computer Apps. (Mac-based) </td>
<td width="16%">
<input type="radio" name="Mac_based" value="No Experience">
</td>
<td width="19%">
<input type="radio" name="Mac_based" value="Fundamental Knowledge">
</td>
<td width="16%">
<input type="radio" name="Mac_based" value="Proficient">
</td>
<td width="13%">
<input type="radio" name="Mac_based" value="Expert">
</td>
</tr>
<tr>
<td width="36%">c. Adobe Photoshop</td>
<td width="16%">
<input type="radio" name="Photoshop" value="No Experience">
</td>
<td width="19%">
<input type="radio" name="Photoshop" value="Fundamental Knowledge">
</td>
<td width="16%">
<input type="radio" name="Photoshop" value="Proficient">
</td>
<td width="13%">
<input type="radio" name="Photoshop" value="Expert">
</td>
</tr>
<tr>
<td width="36%">d. Adobe Illustrator</td>
<td width="16%">
<input type="radio" name="Illustrator" value="No Experience">
</td>
<td width="19%">
<input type="radio" name="Illustrator" value="Fundamental Knowledge">
</td>
<td width="16%">
<input type="radio" name="Illustrator" value="Proficient">
</td>
<td width="13%">
<input type="radio" name="Illustrator" value="Expert">
</td>
</tr>
<tr>
<td width="36%">e. Adobe Image Ready</td>
<td width="16%">
<input type="radio" name="ImageReady" value="No Experience">
</td>
<td width="19%">
<input type="radio" name="ImageReady" value="Fundamental Knowledge">
</td>
<td width="16%">
<input type="radio" name="ImageReady" value="Proficient">
</td>
<td width="13%">
<input type="radio" name="ImageReady" value="Expert">
</td>
</tr>
<tr>
<td width="36%">f. Macromedia Dreamweaver</td>
<td width="16%">
<input type="radio" name="Dreamweaver" value="No Experience">
</td>
<td width="19%">
<input type="radio" name="Dreamweaver" value="Fundamental Knowledge">
</td>
<td width="16%">
<input type="radio" name="Dreamweaver" value="Proficient">
</td>
<td width="13%">
<input type="radio" name="Dreamweaver" value="Expert">
</td>
</tr>
<tr>
<td width="36%" height="2">g. Macromedia Fireworks</td>
<td width="16%" height="2">
<input type="radio" name="Fireworks" value="No Experience">
</td>
<td width="19%" height="2">
<input type="radio" name="Fireworks" value="Fundamental Knowledge">
</td>
<td width="16%" height="2">
<input type="radio" name="Fireworks" value="Proficient">
</td>
<td width="13%" height="2">
<input type="radio" name="Fireworks" value="Expert">
</td>
</tr>
<tr>
<td width="36%">h. Macromedia Flash</td>
<td width="16%">
<input type="radio" name="Flash" value="No Experience">
</td>
<td width="19%">
<input type="radio" name="Flash" value="Fundamental Knowledge">
</td>
<td width="16%">
<input type="radio" name="Flash" value="Proficient">
</td>
<td width="13%">
<input type="radio" name="Flash" value="Expert">
</td>
</tr>
<tr>
<td width="36%">i. HTML</td>
<td width="16%">
<input type="radio" name="HTML" value="No Experience">
</td>
<td width="19%">
<input type="radio" name="HTML" value="Fundamental Knowledge">
</td>
<td width="16%">
<input type="radio" name="HTML" value="Proficient">
</td>
<td width="13%">
<input type="radio" name="HTML" value="Expert">
</td>
</tr>
<tr>
<td width="36%">j. Java Script</td>
<td width="16%">
<input type="radio" name="JavaScript" value="No Experience">
</td>
<td width="19%">
<input type="radio" name="JavaScript" value="Fundamental Knowledge">
</td>
<td width="16%">
<input type="radio" name="JavaScript" value="Proficient">
</td>
<td width="13%">
<input type="radio" name="JavaScript" value="Expert">
</td>
</tr>
<tr>
<td width="36%">k. Quark Xpress</td>
<td width="16%">
<input type="radio" name="Quark" value="No Experience">
</td>
<td width="19%">
<input type="radio" name="Quark" value="Fundamental Knowledge">
</td>
<td width="16%">
<input type="radio" name="Quark" value="Proficient">
</td>
<td width="13%">
<input type="radio" name="Quark" value="Expert">
</td>
</tr>
<tr>
<td width="36%">l. Other (please indicate)</td>
<td width="16%">
<input type="radio" name="OtherSkill" value="No Experience">
</td>
<td width="19%">
<input type="radio" name="OtherSkill" value="Fundamental Knowledge">
</td>
<td width="16%">
<input type="radio" name="OtherSkill" value="Proficient">
</td>
<td width="13%">
<input type="radio" name="OtherSkill" value="Expert">
</td>
</tr>
</table>
<p> </p>
</td>
</tr>
<tr>
<td valign="top" width="72" align="right"> </td>
<td align=CENTER colspan=4> <br>
<div align="left">
<input type="button" value="Send" onClick="validate()" name="button">
<input type="Reset" name="Reset">
</div>
</td>
</tr>
</table>
</td>
</tr>
</table>
</form>
</body>
</html>