
<div class="form_item">
  <div class="form_element cf_heading">
    <h1 class="cf_text">Application Form</h1>
  </div>
  <div class="cfclear">&nbsp;</div>
</div>

<div class="form_item">
  <div class="form_element cf_dropdown">
    <label class="cf_label" style="width: 150px;">Location</label>
    <select class="cf_inputbox validate-selection" id="select_10" size="1" title=""  name="country">
    <option value="">Select Country</option>
      <option value="North America">North America</option>
<option value="China">China</option>

    </select>
    
  </div>
  <div class="cfclear">&nbsp;</div>
</div>

<div class="form_item">
  <div class="form_element cf_textbox">
    <label class="cf_label" style="width: 150px;">First Name</label>
    <input class="cf_inputbox required" maxlength="150" size="30" title="" id="text_0" name="fname" type="text" />
  
  </div>
  <div class="cfclear">&nbsp;</div>
</div>

<div class="form_item">
  <div class="form_element cf_textbox">
    <label class="cf_label" style="width: 150px;">Last Name</label>
    <input class="cf_inputbox required" maxlength="150" size="30" title="" id="text_1" name="lname" type="text" />
  
  </div>
  <div class="cfclear">&nbsp;</div>
</div>

<div class="form_item">
  <div class="form_element cf_textbox">
    <label class="cf_label" style="width: 150px;">Phone</label>
    <input class="cf_inputbox" maxlength="150" size="30" title="" id="text_7" name="phone" type="text" />
  
  </div>
  <div class="cfclear">&nbsp;</div>
</div>

<div class="form_item">
  <div class="form_element cf_textbox">
    <label class="cf_label" style="width: 150px;">Email</label>
    <input class="cf_inputbox required validate-email" maxlength="150" size="30" title="" id="text_2" name="email" type="text" />
  
  </div>
  <div class="cfclear">&nbsp;</div>
</div>

<div class="form_item">
  <div class="form_element cf_textarea">
    <label class="cf_label" style="width: 150px;">Message</label>
    <textarea class="cf_inputbox" rows="5" id="text_9" title="" cols="40" name="msg"></textarea>
    
  </div>
  <div class="cfclear">&nbsp;</div>
</div>

<div class="form_item">
  <div class="form_element cf_fileupload">
    <label class="cf_label" style="width: 150px;">Attach Resume</label>
    <input class="cf_fileinput cf_inputbox" title="" size="20" id="file_10" name="resume" type="file" />
    
  </div>
  <div class="cfclear">&nbsp;</div>
</div>

<div class="form_item">
  <div class="form_element cf_captcha">
    <label class="cf_label" style="width: 150px;">Human Verification</label>
    <span>{imageverification}</span> 
    
    </div>
  <div class="cfclear">&nbsp;</div>
</div>

<div class="form_item">
  <div class="form_element cf_button">
    <input value="Submit" name="button_3" type="submit" /><input type="reset" name="reset" value="Reset"/>
  </div>
  <div class="cfclear">&nbsp;</div>
</div>
