textfield

sirron · Nov 15, 2004

I have a textfield or textbox. I also have a button on the page with the textfield. when I click the button it goes to another page.

What I want to do is if the textfield or textbox is empty I want it to reponse.write a message or go to another page.

Does anyone have an example of this?

Lothario · Nov 15, 2004

If Request.Form("textfieldname")<>"" Then
Response.Redirect blahblah.asp
Else
Reponse.Write "Please fill in the text box"
End if

sirron · Nov 15, 2004

If its empty is there a way to put a POP UP instead of response.write

FesterSXS · Nov 15, 2004

for this you need javascript (Javascript forum - forum216). To complete the thread though I'll put it here:

Code:

<form action="myPage.asp" name="myForm" onSubmit="return confirmData();" method="POST">
<input type="TEXT" name="myTextField" />
<input type="SUBMIT" />
</form>

and the javascript bit...

Code:

function confirmData {

  if(document.myForm.myTextField.value == "")
  {
    alert("Please enter some text");
    document.myForm.myTextField.focus();
    return false;
  }

  return true;
}

Tony
________________________________________________________________________________

http://www.SpiraxSarco.com

sirron · Nov 15, 2004

This is the code I have, but it is not working. Can someone look at it? I really need some help?
Thank you in advance

<%@LANGUAGE="VBSCRIPT"%>
<HTML>
<HEAD>
<META NAME="GENERATOR" CONTENT="Adobe PageMill 3.0 Mac">
<TITLE>CSU SITE PREVIEW</TITLE>
<META HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=iso-8859-1">

</font></TD>

</TR>
<TR>
<TD width="34%" height="123" bgcolor="#90a392"><img src="images/header1.gif" width="224"
height="72" align="BOTTOM" border="0" naturalsizeflag="3"></TD>
<TD width="35%" valign="middle" bordercolor="#FFFFCC" bgcolor="#90a392"> <div align="center"><font color="#FFFF99" size="6" face="Arial, Helvetica, sans-serif"><u><strong>Human
Resources</strong></u> </font> </div>
<div align="center"></div></TD>
<TD width="31%" bgcolor="#90a392"> <div align="right">  <img src="images/header2.jpg" width="205" height="109"
align="BOTTOM" border="0" naturalsizeflag="3"></div></TD>
</TR>
<TR>
<TD HEIGHT="32" BGCOLOR="#5e6b5f" class="text"><strong><font color="#FFFF00" size="4">Please
insert your phone extension</font></strong>
<script language="JavaScript">

</script>

<input name="textfield6" type="text" size="4" maxlength="4">
</TD>
<TD HEIGHT="32" BGCOLOR="#5e6b5f" class="text">
<div align="center"><strong><font color="#FFFFFF" size="4">
Employee Action Form</font></strong></div></TD>
<TD HEIGHT="32" BGCOLOR="#5e6b5f" class="text"> </TD>
</TR>
<TR bgcolor="#5e6b5f">
<TD HEIGHT="37" colspan="3" class="text">
<form action="" name="form1" onsubmit="return validate()">
<table width="97%" height="651" border="1">
<tr>
<td width="220" height="26" valign="top" bgcolor="#CCCCCC"> Fund Code
<input name="txtFundCode" type="text" id="txtFundCode" size="10"> </td>
<td width="57" height="26" align="center" valign="top" bgcolor="#CCCCCC"><div align="left">Org
Code </div></td>
<td width="138" height="26" valign="top" bgcolor="#CCCCCC"><div align="left">Acct
Code </div></td>
<td width="111" height="26" valign="top" bgcolor="#CCCCCC">Project
Code </td>
<td width="150" height="26" valign="top" bgcolor="#CCCCCC"><div align="left">Position#
<input name="txtPosition" type="text" id="txtPosition" size="7">
</div></td>
<td width="259" height="26" valign="top" bgcolor="#CCCCCC"> <input name="chkNew" type="checkbox" id="chkNew" value="checkbox">
New                  
        (A)</td>
</tr>
<tr>
<td height="26" valign="middle" bgcolor="#CCCCCC"> <p>Budget  
   
<input name="txtBudget" type="text" id="txtBudget" size="10">
</p></td>
<td rowspan="2" valign="top" bgcolor="#CCCCCC"> <input name="txtOrgCode" type="text" id="txtOrgCode" size="6" maxlength="4">
</td>
<td rowspan="2" valign="top" bgcolor="#CCCCCC"> <font color="#FFFFFF">
<input name="txtAcctCode" type="text" id="txtAcctCode" size="7" maxlength="5">
</font></td>
<td rowspan="2" valign="top" bgcolor="#CCCCCC"> <input name="txtProjCode" type="text" id="txtProjCode" size="6" maxlength="2">
</td>
<td height="26" valign="top" bgcolor="#CCCCCC">Initials    
<input name="txtInitials" type="text" id="txtInitials" size="6" maxlength="4"> </td>
<td height="26" valign="top" bgcolor="#CCCCCC"> <input name="chkReplacing" type="checkbox" id="chkReplacing" value="checkbox">
Replacing </td>
</tr>
<tr>
<td height="26" valign="middle" bgcolor="#CCCCCC">Date    
      <input name="txtDate1" type="text" id="txtDate1" size="21"></td>
<td height="26" valign="top" bgcolor="#CCCCCC">Date    
  <input name="txtDate2" type="text" id="txtDate2" size="10" maxlength="10"></td>
<td height="26" valign="top" bgcolor="#CCCCCC"> <input name="chkPerm" type="checkbox" id="chkPerm" value="checkbox">
Perm           <input name="chkPart" type="checkbox" id="chkPart" value="checkbox">
Part-time </td>
</tr>
<tr>
<td rowspan="3" valign="top" bgcolor="#CCCCCC"> Dept.
<textarea name="txtDept" cols="25" id="txtDept"></textarea></td>
<td height="26" colspan="4" valign="middle" bgcolor="#CCCCCC">Job
Class
<input name="txtJobClass" type="text" id="txtJobClass" size="50"> </td>
<td height="26" bgcolor="#CCCCCC"> <input name="chkTemp" type="checkbox" id="chkTemp" value="checkbox">
Temp          <input name="chkFull" type="checkbox" id="chkFull" value="checkbox">
Full-time </td>
</tr>
<tr>
<td colspan="4" valign="middle" bgcolor="#CCCCCC"><p>Job Title
<input name="txtJobTitle" type="text" id="txtJobTitle" size="50">
</p></td>
<td height="45" valign="top" bgcolor="#CCCCCC"> <input name="chkHour" type="checkbox" id="chkHour" value="checkbox">
Hourly Rate
<input name="chkWeek" type="checkbox" id="chkWeek" value="checkbox">
Bi-Weekly
<input name="txtSalary" type="text" id="txtSalary" size="12">
(B) </td>
</tr>
<tr>
<td colspan="4" valign="top" bgcolor="#CCCCCC"><input name="chkSalary" type="checkbox" id="chkSalary" value="checkbox">
Salary   <input name="chkContract" type="checkbox" id="chkContract" value="checkbox">
Contract
<input name="txtSalCon" type="text" id="txtSalCon" size="20"></td>
<td height="26" valign="top" bgcolor="#CCCCCC"><input name="chkProSalary" type="checkbox" id="chkProSalary" value="checkbox">
Pro-rated Salary     <input name="txtProSalary" type="text" id="txtProSalary" size="20">
</td>
</tr>
<tr>
<td height="26" colspan="5" valign="middle" bgcolor="#CCCCCC">Name  
<input name="txtName2" type="text" id="txtName22" size="60"> </td>
<td height="26" valign="top" bgcolor="#CCCCCC">Social Security #   
<input name="txtSocial" type="text" id="txtSocial" size="10" maxlength="11">
</td>
</tr>
<tr>
<td height="26" colspan="5" valign="top" bgcolor="#CCCCCC">Street  
<input name="txtStreet" type="text" id="txtStreet" size="50"> </td>
<td height="26" valign="top" bgcolor="#CCCCCC">Status Codes  
      <input name="txtStatusCode" type="text" id="txtStatusCode" size="15">
</td>
</tr>
<tr>
<td height="26" colspan="5" valign="top" bgcolor="#CCCCCC">City     
<input name="txtCity" type="text" id="txtCity" size="30"> </td>
<td height="26" valign="top" bgcolor="#CCCCCC">Begining Pay Date:
<input name="txtBeginPay" type="text" id="txtBeginPay" size="15"> </td>
</tr>
<tr>
<td height="26" colspan="5" valign="top" bgcolor="#CCCCCC">State 
  <input name="txtState" type="text" id="txtState" size="15"></td>
<td height="26" valign="top" bgcolor="#CCCCCC">Ending Pay Date:  
<input name="txtEndPay" type="text" id="txtEndPay" size="15"></td>
</tr>
<tr>
<td height="26" colspan="5" bgcolor="#CCCCCC">Zip      
<input name="txtZip" type="text" id="txtZip" size="15"></td>
<td height="26" valign="top" bgcolor="#CCCCCC">Start Date:  
          <input name="txtStartDate" type="text" id="txtStartDate" size="15">
</td>
</tr>
<tr>
<td height="26" colspan="5" valign="top" bgcolor="#CCCCCC">Phone:
<input name="txtPh" type="text" id="txtPh" size="27"></td>
<td height="26" valign="top" bgcolor="#CCCCCC">End Date:             
<input name="txtEndDate" type="text" id="txtEndDate" size="15"> </td>
</tr>
<tr>
<td height="26" valign="top" bgcolor="#CCCCCC"><font color="#FFFFFF"><font color="#000000">Authorize
release of #
<input name="txtAuthorize" type="text" id="txtAuthorize" size="10">
</font> </font></td>
<td colspan="3" bgcolor="#CCCCCC"><font color="#000000">Unathorized
release of # </font><font color="#FFFFFF">
<input name="txtUnathorized" type="text" id="txtUnathorized" size="10">
</font></td>
<td height="26" colspan="2" bgcolor="#CCCCCC"><font color="#000000"> Emergency
contact:
<input name="txtEmergCon" type="text" id="txtEmergCon" size="37">
</font></td>
</tr>
<tr bgcolor="#CCCCCC">
<td colspan="2" valign="top"><p><font color="#FFFFFF">
<input type="checkbox" name="checkbox" value="checkbox">
<font color="#000000">Y/N - Citizen</font></font><font color="#000000">  </font><font color="#FFFFFF"> 
<input type="checkbox" name="checkbox2" value="checkbox">
 <font color="#000000">STRS</font>
<input type="checkbox" name="checkbox3" value="checkbox">
<font color="#000000">PERS</font> </font></p>
<p><font color="#FFFFFF">
<input type="checkbox" name="checkbox4" value="checkbox">
<font color="#000000">W-4 attached </font> 
<input type="checkbox" name="checkbox5" value="checkbox">
<font color="#000000">W-4 on file</font></font></p>
<p><font color="#FFFFFF">
<input type="checkbox" name="checkbox6" value="checkbox">
<font color="#000000"> N - Visa (Form Required)</font><font color="#FFFFFF">
<input type="checkbox" name="checkbox7" value="checkbox">
</font></font><font color="#FFFFFF"><font color="#000000">Other
    (C)</font></font></p>
<p> </p></td>
<td colspan="2" valign="top">
<div align="left">
<p><font color="#FFFFFF"> </font><font color="#FFFFFF"><font color="#000000" size="3">Highest
Degree</font><font color="#000000"> </font></font></p>
<p><font color="#FFFFFF"><font color="#000000">
<textarea name="textarea" cols="25" rows="6"></textarea>
</font></font><font color="#000000"> </font></p>
</div></td>
<td valign="top">
<p><font color="#000000">Female</font><font color="#FFFFFF">
<input type="checkbox" name="checkbox8" value="checkbox">
</font></p>
<p><font color="#FFFFFF"> <font color="#000000">Male </font>
<input type="checkbox" name="checkbox9" value="checkbox">
</font></p></td>
<td valign="top"><p><font color="#000000"> Non - Exempt</font><font color="#FFFFFF">
<input type="checkbox" name="checkbox10" value="checkbox">
</font></p>
<p><font color="#000000">Exempt </font><font color="#FFFFFF">
<input type="checkbox" name="checkbox11" value="checkbox">
</font></p>
<p><font color="#000000">Faculty </font><font color="#FFFFFF">
<input type="checkbox" name="checkbox13" value="checkbox">
</font></p>
<p> </p></td>
</tr>
<tr bgcolor="#CCCCCC">
<td colspan="2" valign="top"> </td>
<td><font color="#FFFFFF"> </font></td>
<td><font color="#FFFFFF"> </font></td>
<td><font color="#FFFFFF"> </font></td>
<td height="85"><font color="#FFFFFF"> </font> </td>
</tr>
</table>
<input type="submit" name="Submit2" value="Save">
</form></TD>
</TR>
</TABLE>
<div align="left"></div>
<div align="right"></div>
<div align="right"></div>
</BODY>
</HTML>

FesterSXS · Nov 16, 2004

1) You are missing a fair chunk of code at the top. I have added this in red below.

2) Your conditional line in the javascript needs 2 equals signs instead of one. Your form name does not match that in your code either.(blue)

3) The SCRIPT block should be in the HEAD area of the page. (green)

I have made these changes below. Try them out and let us know how you get on.

Code:

<%@LANGUAGE="VBSCRIPT"%> 
<HTML>
<HEAD>
<META NAME="GENERATOR" CONTENT="Adobe PageMill 3.0 Mac">
<TITLE>CSU SITE PREVIEW</TITLE>
<META HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=iso-8859-1">
[green]
<script language="JavaScript">
<!--
function validate() {
[blue]if document.form1.txtFundCode.value == ""[/blue] {
alert('textfiled is blank');
return false;
}
else
return true;
//-->
</script>
[/green][red]
</HEAD>

<BODY>
[s]</font></TD>
</TR>[/s]
<TABLE cols="3">[/red]
  <TR> 
    <TD width="34%" height="123" bgcolor="#90a392"><img src="images/header1.gif" width="224"
            height="72" align="BOTTOM" border="0" naturalsizeflag="3"></TD>
    <TD width="35%" valign="middle" bordercolor="#FFFFCC" bgcolor="#90a392"> <div align="center"><font color="#FFFF99" size="6" face="Arial, Helvetica, sans-serif"><u><strong>Human 
        Resources</strong></u> </font> </div>
      <div align="center"></div></TD>
    <TD width="31%" bgcolor="#90a392"> <div align="right">&nbsp; <img src="images/header2.jpg" width="205" height="109"
            align="BOTTOM" border="0" naturalsizeflag="3"></div></TD>
  </TR>
  <TR> 
    <TD HEIGHT="32" BGCOLOR="#5e6b5f" class="text"><strong><font color="#FFFF00" size="4">Please 
      insert your phone extension</font></strong>
       
      
      <input name="textfield6" type="text" size="4" maxlength="4">
    </TD>
    <TD HEIGHT="32" BGCOLOR="#5e6b5f" class="text">
<div align="center"><strong><font color="#FFFFFF" size="4"> 
        Employee Action Form</font></strong></div></TD>
    <TD HEIGHT="32" BGCOLOR="#5e6b5f" class="text">&nbsp;</TD>
  </TR>
  <TR bgcolor="#5e6b5f"> 
    <TD HEIGHT="37" colspan="3" class="text"> 
      <form action="" name="form1" onsubmit="return validate()">
        <table width="97%" height="651" border="1">
          <tr> 
            <td width="220" height="26" valign="top" bgcolor="#CCCCCC"> Fund Code 
              <input name="txtFundCode" type="text" id="txtFundCode" size="10"> </td>
            <td width="57" height="26" align="center" valign="top" bgcolor="#CCCCCC"><div align="left">Org 
                Code </div></td>
            <td width="138" height="26" valign="top" bgcolor="#CCCCCC"><div align="left">Acct 
                Code </div></td>
            <td width="111" height="26" valign="top" bgcolor="#CCCCCC">Project 
              Code </td>
            <td width="150" height="26" valign="top" bgcolor="#CCCCCC"><div align="left">Position# 
                <input name="txtPosition" type="text" id="txtPosition" size="7">
              </div></td>
            <td width="259" height="26" valign="top" bgcolor="#CCCCCC"> <input name="chkNew" type="checkbox" id="chkNew" value="checkbox">
              New &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; 
              &nbsp; &nbsp; &nbsp; &nbsp; (A)</td>
          </tr>
          <tr> 
            <td height="26" valign="middle" bgcolor="#CCCCCC"> <p>Budget &nbsp; 
                &nbsp; &nbsp; 
                <input name="txtBudget" type="text" id="txtBudget" size="10">
              </p></td>
            <td rowspan="2" valign="top" bgcolor="#CCCCCC"> <input name="txtOrgCode" type="text" id="txtOrgCode" size="6" maxlength="4"> 
            </td>
            <td rowspan="2" valign="top" bgcolor="#CCCCCC"> <font color="#FFFFFF"> 
              <input name="txtAcctCode" type="text" id="txtAcctCode" size="7" maxlength="5">
              </font></td>
            <td rowspan="2" valign="top" bgcolor="#CCCCCC"> <input name="txtProjCode" type="text" id="txtProjCode" size="6" maxlength="2"> 
            </td>
            <td height="26" valign="top" bgcolor="#CCCCCC">Initials &nbsp; &nbsp; 
              <input name="txtInitials" type="text" id="txtInitials" size="6" maxlength="4"> </td>
            <td height="26" valign="top" bgcolor="#CCCCCC"> <input name="chkReplacing" type="checkbox" id="chkReplacing" value="checkbox">
              Replacing </td>
          </tr>
          <tr> 
            <td height="26" valign="middle" bgcolor="#CCCCCC">Date &nbsp; &nbsp; 
              &nbsp; &nbsp; &nbsp; <input name="txtDate1" type="text" id="txtDate1" size="21"></td>
            <td height="26" valign="top" bgcolor="#CCCCCC">Date &nbsp;&nbsp;&nbsp; 
              &nbsp; <input name="txtDate2" type="text" id="txtDate2" size="10" maxlength="10"></td>
            <td height="26" valign="top" bgcolor="#CCCCCC"> <input name="chkPerm" type="checkbox" id="chkPerm" value="checkbox">
              Perm &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <input name="chkPart" type="checkbox" id="chkPart" value="checkbox">
              Part-time </td>
          </tr>
          <tr> 
            <td rowspan="3" valign="top" bgcolor="#CCCCCC"> Dept. 
              <textarea name="txtDept" cols="25" id="txtDept"></textarea></td>
            <td height="26" colspan="4" valign="middle" bgcolor="#CCCCCC">Job 
              Class 
              <input name="txtJobClass" type="text" id="txtJobClass" size="50"> </td>
            <td height="26" bgcolor="#CCCCCC"> <input name="chkTemp" type="checkbox" id="chkTemp" value="checkbox">
              Temp &nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <input name="chkFull" type="checkbox" id="chkFull" value="checkbox">
              Full-time </td>
          </tr>
          <tr> 
            <td colspan="4" valign="middle" bgcolor="#CCCCCC"><p>Job Title 
                <input name="txtJobTitle" type="text" id="txtJobTitle" size="50">
              </p></td>
            <td height="45" valign="top" bgcolor="#CCCCCC"> <input name="chkHour" type="checkbox" id="chkHour" value="checkbox">
              Hourly Rate 
              <input name="chkWeek" type="checkbox" id="chkWeek" value="checkbox">
              Bi-Weekly 
              <input name="txtSalary" type="text" id="txtSalary" size="12">
              (B) </td>
          </tr>
          <tr> 
            <td colspan="4" valign="top" bgcolor="#CCCCCC"><input name="chkSalary" type="checkbox" id="chkSalary" value="checkbox">
              Salary &nbsp; <input name="chkContract" type="checkbox" id="chkContract" value="checkbox">
              Contract 
              <input name="txtSalCon" type="text" id="txtSalCon" size="20"></td>
            <td height="26" valign="top" bgcolor="#CCCCCC"><input name="chkProSalary" type="checkbox" id="chkProSalary" value="checkbox">
              Pro-rated Salary &nbsp; &nbsp; <input name="txtProSalary" type="text" id="txtProSalary" size="20"> 
            </td>
          </tr>
          <tr> 
            <td height="26" colspan="5" valign="middle" bgcolor="#CCCCCC">Name&nbsp;&nbsp; 
              <input name="txtName2" type="text" id="txtName22" size="60"> </td>
            <td height="26" valign="top" bgcolor="#CCCCCC">Social Security # &nbsp;&nbsp; 
              <input name="txtSocial" type="text" id="txtSocial" size="10" maxlength="11"> 
            </td>
          </tr>
          <tr> 
            <td height="26" colspan="5" valign="top" bgcolor="#CCCCCC">Street&nbsp;&nbsp; 
              <input name="txtStreet" type="text" id="txtStreet" size="50"> </td>
            <td height="26" valign="top" bgcolor="#CCCCCC">Status Codes &nbsp; 
              &nbsp; &nbsp; &nbsp; <input name="txtStatusCode" type="text" id="txtStatusCode" size="15"> 
            </td>
          </tr>
          <tr> 
            <td height="26" colspan="5" valign="top" bgcolor="#CCCCCC">City&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 
              <input name="txtCity" type="text" id="txtCity" size="30"> </td>
            <td height="26" valign="top" bgcolor="#CCCCCC">Begining Pay Date: 
              <input name="txtBeginPay" type="text" id="txtBeginPay" size="15"> </td>
          </tr>
          <tr> 
            <td height="26" colspan="5" valign="top" bgcolor="#CCCCCC">State&nbsp; 
              &nbsp; <input name="txtState" type="text" id="txtState" size="15"></td>
            <td height="26" valign="top" bgcolor="#CCCCCC">Ending Pay Date: &nbsp; 
              <input name="txtEndPay" type="text" id="txtEndPay" size="15"></td>
          </tr>
          <tr> 
            <td height="26" colspan="5" bgcolor="#CCCCCC">Zip &nbsp; &nbsp; &nbsp; 
              <input name="txtZip" type="text" id="txtZip" size="15"></td>
            <td height="26" valign="top" bgcolor="#CCCCCC">Start Date: &nbsp; 
              &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; <input name="txtStartDate" type="text" id="txtStartDate" size="15"> 
            </td>
          </tr>
          <tr> 
            <td height="26" colspan="5" valign="top" bgcolor="#CCCCCC">Phone: 
              <input name="txtPh" type="text" id="txtPh" size="27"></td>
            <td height="26" valign="top" bgcolor="#CCCCCC">End Date: &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 
              <input name="txtEndDate" type="text" id="txtEndDate" size="15"> </td>
          </tr>
          <tr> 
            <td height="26" valign="top" bgcolor="#CCCCCC"><font color="#FFFFFF"><font color="#000000">Authorize 
              release of # 
              <input name="txtAuthorize" type="text" id="txtAuthorize" size="10">
              </font> </font></td>
            <td colspan="3" bgcolor="#CCCCCC"><font color="#000000">Unathorized 
              release of # </font><font color="#FFFFFF"> 
              <input name="txtUnathorized" type="text" id="txtUnathorized" size="10">
              </font></td>
            <td height="26" colspan="2" bgcolor="#CCCCCC"><font color="#000000">&nbsp;Emergency 
              contact: 
              <input name="txtEmergCon" type="text" id="txtEmergCon" size="37">
              </font></td>
          </tr>
          <tr bgcolor="#CCCCCC"> 
            <td colspan="2" valign="top"><p><font color="#FFFFFF"> 
                <input type="checkbox" name="checkbox" value="checkbox">
                <font color="#000000">Y/N - Citizen</font></font><font color="#000000">&nbsp;&nbsp;</font><font color="#FFFFFF">&nbsp; 
                <input type="checkbox" name="checkbox2" value="checkbox">
                &nbsp;<font color="#000000">STRS</font> 
                <input type="checkbox" name="checkbox3" value="checkbox">
                <font color="#000000">PERS</font> </font></p>
              <p><font color="#FFFFFF"> 
                <input type="checkbox" name="checkbox4" value="checkbox">
                <font color="#000000">W-4 attached </font>&nbsp; 
                <input type="checkbox" name="checkbox5" value="checkbox">
                <font color="#000000">W-4 on file</font></font></p>
              <p><font color="#FFFFFF"> 
                <input type="checkbox" name="checkbox6" value="checkbox">
                <font color="#000000"> N - Visa (Form Required)</font><font color="#FFFFFF"> 
                <input type="checkbox" name="checkbox7" value="checkbox">
                </font></font><font color="#FFFFFF"><font color="#000000">Other 
                &nbsp; &nbsp; (C)</font></font></p>
              <p>&nbsp;</p></td>
            <td colspan="2" valign="top"> 
              <div align="left"> 
                <p><font color="#FFFFFF">&nbsp;</font><font color="#FFFFFF"><font color="#000000" size="3">Highest 
                  Degree</font><font color="#000000"> </font></font></p>
                <p><font color="#FFFFFF"><font color="#000000">
                  <textarea name="textarea" cols="25" rows="6"></textarea>
                  </font></font><font color="#000000"> </font></p>
              </div></td>
            <td valign="top">
<p><font color="#000000">Female</font><font color="#FFFFFF"> 
                <input type="checkbox" name="checkbox8" value="checkbox">
                </font></p>
              <p><font color="#FFFFFF"> <font color="#000000">Male </font>
<input type="checkbox" name="checkbox9" value="checkbox">
                </font></p></td>
            <td valign="top"><p><font color="#000000">&nbsp;Non - Exempt</font><font color="#FFFFFF"> 
                <input type="checkbox" name="checkbox10" value="checkbox">
                </font></p>
              <p><font color="#000000">Exempt </font><font color="#FFFFFF">
<input type="checkbox" name="checkbox11" value="checkbox">
                </font></p>
              <p><font color="#000000">Faculty </font><font color="#FFFFFF">
<input type="checkbox" name="checkbox13" value="checkbox">
                </font></p>
              <p>&nbsp;</p></td>
          </tr>
          <tr bgcolor="#CCCCCC"> 
            <td colspan="2" valign="top">&nbsp;</td>
            <td><font color="#FFFFFF">&nbsp;</font></td>
            <td><font color="#FFFFFF">&nbsp;</font></td>
            <td><font color="#FFFFFF">&nbsp;</font></td>
            <td height="85"><font color="#FFFFFF">&nbsp;</font> </td>
          </tr>
        </table>
        <input type="submit" name="Submit2" value="Save">
      </form></TD>
  </TR>
</TABLE>
<div align="left"></div>
<div align="right"></div>
<div align="right"></div>
</BODY>
</HTML>

Tony
________________________________________________________________________________

http://www.SpiraxSarco.com

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