
	<div id="sbEmpWrapper">
		<div class="formBox">
			<div class="form">
				<form name="sbEmpForm" id="sbEmpForm" method="post">
					<div class="block">
						<p>
							<label>Name</label> <input type="text" name="form_name" id="form_name" class="required"  />
						</p>
                        <p>
							<label>Company</label> <input type="text" name="form_company" id="form_company" class="required"  />
						</p>
						<p>
							<label>Email</label> <input type="text" name="form_email" id="form_email" class="required" />
						</p>
                    </div>
                    <p>
                        <label>Address</label> <input type="text" name="form_address" id="form_address" class="required"  />
                    </p>
                    <div class="block">
                        <p>
							<label>City</label> <input type="text" name="form_city" id="form_city" class="required"  />
						</p>
                        <p>
							<label>State</label> <input type="text" name="form_state" id="form_state" class="required"  />
						</p>
                        <p>
							<label>Zip</label> <input type="text" name="form_zip" id="form_zip" class="required"  />
						</p>
                    </div>
                    <p>
                        <label>Job Title</label> <input type="text" name="form_job" id="form_job" class="required"  />
                    </p>
                    <div class="block">
                        <p>
							<label>Salary Range</label> <input type="text" name="form_salary" id="form_salary" class="required"  />
						</p>
                        <p>
							<label>Required Education</label> <input type="text" name="form_education" id="form_education" class="required"  />
						</p>
                        <p>
							<label>Experience Level</label> <input type="text" name="form_experience" id="form_experience" class="required"  />
						</p>
                    </div>
						<p>
							<label>Job Description</label>
							<textarea name="form_job_description" id="form_job_description" class="required" style="resize:none;"></textarea>
						</p>
						
					
				</form>
				<div class="formFooter"><button type="submit" name="sbEmpButton" id="sbEmpButton">Submit</button></div>
				<div class="thanksBox"><p>Thank you!<br />We will contact you as soon as possible.</p></div>
			</div>
		</div>
	</div>
	
