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0byt3m1n1
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Path:
/
hermes
/
bosweb
/
b744
/
chastityconn.com
/
georgiateenwork.org
/
[
Home
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File: include_preliminaryinformation.php
<?php require_once("db.php"); if(isset($_REQUEST['action']) && $_REQUEST['action'] == 'addpage1') { $_SESSION['fosterYouth'] = $_REQUEST['fosterYouth']; $_SESSION['foodstamps']= $_REQUEST['foodstamps']; $_SESSION['tanf']= $_REQUEST['tanf']; $_SESSION['iep']= $_REQUEST['iep']; $_SESSION['dependent']= $_REQUEST['dependent']; //$_SESSION['custodial']= $_REQUEST['custodial']; $_SESSION['month']= $_REQUEST['month']; $_SESSION['date']= $_REQUEST['date']; $_SESSION['year']= $_REQUEST['year']; $_SESSION['city']= $_REQUEST['city']; $_SESSION['state']= $_REQUEST['state']; $_SESSION['email']= $_REQUEST['email']; //$_SESSION['age']= $_REQUEST['age']; $_SESSION['income_eligible']= $_REQUEST['income_eligible']; echo "<script>document.location.href='demographicpage1.php';</script>"; exit(); } if(isset($_REQUEST['action']) && $_REQUEST['action'] == 'addpage2') { $_SESSION['firstname'] = $_REQUEST['firstname']; $_SESSION['lastname']= $_REQUEST['lastname']; $_SESSION['middlename']= $_REQUEST['middlename']; $_SESSION['address']= $_REQUEST['address']; $_SESSION['state']= $_REQUEST['state']; $_SESSION['zipcode']= $_REQUEST['zipcode']; $_SESSION['city']= $_REQUEST['city']; $_SESSION['county']= $_REQUEST['county']; $_SESSION['region']= $_REQUEST['region']; $_SESSION['highschool']= $_REQUEST['highschool']; $_SESSION['othHIghSchool']= $_REQUEST['othHIghSchool']; $_SESSION['college']= $_REQUEST['college']; $_SESSION['level']= $_REQUEST['level']; echo "<script>document.location.href='demographicpage2.php';</script>"; exit(); } if(isset($_REQUEST['action']) && $_REQUEST['action'] == 'addpage3') { $_SESSION['phone'] = $_REQUEST['phone']; $_SESSION['hphone']= $_REQUEST['hphone']; $_SESSION['aphone']= $_REQUEST['aphone']; $_SESSION['contact']= $_REQUEST['contact']; $_SESSION['emercontact']= $_REQUEST['emercontact']; $_SESSION['phone1']= $_REQUEST['phone1']; $_SESSION['phone2']= $_REQUEST['phone2']; $_SESSION['email2']= $_REQUEST['email2']; $_SESSION['relation']= $_REQUEST['relation']; $_SESSION['accomodation']= $_REQUEST['accomodation']; $_SESSION['otheraccomodationtype']= $_REQUEST['otheraccomodationtype']; if($_SESSION['accomodation'] == 'yes') { if(isset($_REQUEST['accomodationtype']) && count($_REQUEST['accomodationtype']) >0) { for($i=0;$i<count($_REQUEST['accomodationtype']);$i++) { $_SESSION['accomodationtype'][$i] = $_REQUEST['accomodationtype'][$i]; } } } //print_r($_SESSION['accomodationtype']);die; echo "<script>document.location.href='authorisation.php';</script>"; exit(); } //your authorisation if(isset($_REQUEST['action']) && $_REQUEST['action'] == 'addpage4') { $_SESSION['state_issues'] = $_REQUEST['state_issues']; $_SESSION['hear'] = $_REQUEST['hear']; //print_r($_SESSION['state_issues']); die; $_SESSION['year_old']= $_REQUEST['year_old']; $_SESSION['security_number'] = $_REQUEST['security_number']; echo "<script>document.location.href='youriterest.php';</script>"; exit(); } //your interest if(isset($_REQUEST['action']) && $_REQUEST['action'] == 'addpage5') { if(isset($_REQUEST['teen_interest']) && count($_REQUEST['teen_interest']) >0) { $_SESSION['teen_interest']=array(); for($i=0;$i<count($_REQUEST['teen_interest']);$i++) { $_SESSION['teen_interest'][] = $_REQUEST['teen_interest'][$i]; } } $_SESSION['like_work'] = $_REQUEST['like_work']; //print_r($_SESSION['like_work']); die; $_SESSION['willing_work']= $_REQUEST['willing_work']; if(isset($_SESSION['willing_work']) == 'yes') { $_SESSION['company_name']= $_REQUEST['company_name']; $_SESSION['phone_no']= $_REQUEST['phone_no']; $_SESSION['contact_name']= $_REQUEST['contact_name']; $_SESSION['imp_info']= $_REQUEST['imp_info']; //print_r($_REQUEST['willing_work']); die; } echo "<script>document.location.href='yourworlexperience.php';</script>"; exit(); } //your work enperience if(isset($_REQUEST['action']) && $_REQUEST['action'] == 'addpage6') { $_SESSION['teen_qualification']=array(); if(isset($_REQUEST['teen_qualification']) && count($_REQUEST['teen_qualification']) >0) { for($i=0;$i<count($_REQUEST['teen_qualification']);$i++) { $_SESSION['teen_qualification'][] = $_REQUEST['teen_qualification'][$i]; } //print_r($_SESSION['teen_qualification']); die; } $_SESSION['employed'] = $_REQUEST['employed']; //print_r($_SESSION['employed']); die; if(isset($_SESSION['employed']) == 'yes') { $_SESSION['emp_exp']= $_REQUEST['emp_exp']; $_SESSION['longer_working']= $_REQUEST['longer_working']; } echo "<script>document.location.href='yourworkstyle.php';</script>"; exit(); } //your workstyle if(isset($_REQUEST['action']) && $_REQUEST['action'] == 'addpage7') { $_SESSION['work_style'] =$_REQUEST['work_style']; if(isset($_REQUEST['posses']) && count($_REQUEST['posses']) >0) { $_SESSION['posses']=array(); for($i=0;$i<count($_REQUEST['posses']);$i++) { $_SESSION['posses'][] = $_REQUEST['posses'][$i]; } } echo "<script>document.location.href='confirm_youth.php';</script>"; exit(); } //your Final confirmation if(isset($_REQUEST['action']) && $_REQUEST['action'] == 'addpage8') { error_reporting(0); $year1 = date('Y')-$_SESSION['year']; $month1 = date('m')-$_SESSION['month']; if($month1 > 6){ $age = $year1+1; }else{ $age = $year1; } $_SESSION['age'] = $age; $nm=$_SESSION['firstname']; $lm=$_SESSION['lastname']; $dat=$_SESSION['month'].'-'.$_SESSION['date'].'-'.$_SESSION['year']; if(!empty($_SESSION['teen_interest']) || $_SESSION['teen_interest'] !=""){ $ind_interest = implode(',',$_SESSION['teen_interest']); }else{ $ind_interest = ""; } if(!empty($_SESSION['teen_qualification']) || $_SESSION['teen_qualification'] !=""){ $teen_qualification = implode(',',$_SESSION['teen_qualification']); }else{ $teen_qualification = ""; } if(!empty($_SESSION['posses']) || $_SESSION['posses'] !=""){ $posses = implode(',',$_SESSION['posses']); }else{ $posses = ""; } if(!empty($_SESSION['accomodationtype']) || $_SESSION['accomodationtype']!=""){ $accomodationtype = implode(',',$_SESSION['accomodationtype']); }else{ $accomodationtype = ""; } $work_style=$_SESSION['work_style'][0]; //required fields //$_SESSION['security_number'];check this if(trim($_SESSION['fosterYouth']) == "" || trim($_SESSION['foodstamps']) == "" || trim($_SESSION['tanf']) == "" || trim($_SESSION['iep']) == "" || trim($_SESSION['dependent']) == "" || trim($_SESSION['city']) == "" || trim($_SESSION['state']) == "" || trim($_SESSION['email']) == "" || trim($_SESSION['firstname']) == "" || trim($_SESSION['lastname']) == "" || trim($_SESSION['address']) == "" || trim($_SESSION['county']) == "" || trim($_SESSION['level']) == "" || trim($_SESSION['emercontact']) == "" || trim($_SESSION['email2']) == "" || trim($_SESSION['relation']) == "" || trim($_SESSION['state_issues']) == "" || trim($_SESSION['hear']) == "" || trim($ind_interest) == "" || trim($_SESSION['like_work']) == "" || trim($teen_qualification) == "" || trim($work_style) == "" || trim($posses) == ""){ $chkmsg = "We are unable to catch the following information.So kindly fill it again."."<br/>"; if($_SESSION['fosterYouth'] == ""){ $chkmsg .= "Please select Are you are currently a foster youth in the state of Georgia?"."<br/>"; } if($_SESSION['foodstamps'] == ""){ $chkmsg .= "Please select Does anyone in your household receive food stamps?"."<br/>"; } if($_SESSION['tanf'] == ""){ $chkmsg .= "Please select Do you or anyone in your household receive TANF?"."<br/>"; } if($_SESSION['iep'] == ""){ $chkmsg .= "Please select Do you have a current IEP?"."<br/>"; } if($_SESSION['dependent'] == ""){ $chkmsg .= "Please select Do you have a dependent?"."<br/>"; } if($_SESSION['city'] == ""){ $chkmsg .= "Please enter City."."<br/>"; } if($_SESSION['state'] == ""){ $chkmsg .= "Please select State."."<br/>"; } if($_SESSION['email'] == ""){ $chkmsg .= "Please enter Email."."<br/>"; } if($_SESSION['firstname'] == ""){ $chkmsg .= "Please enter firstname."."<br/>"; } if($_SESSION['lastname'] == ""){ $chkmsg .= "Please enter lastname."."<br/>"; } if($_SESSION['address'] == ""){ $chkmsg .= "Please enter address."."<br/>"; } if($_SESSION['county'] == ""){ $chkmsg .= "Please select county."."<br/>"; } if($_SESSION['level'] == ""){ $chkmsg .= "Please specify grade level."."<br/>"; } if($_SESSION['emercontact'] == ""){ $chkmsg .= "Please enter emergency contact name."."<br/>"; } if($_SESSION['email2'] == ""){ $chkmsg .= "Please enter emergency email."."<br/>"; } if($_SESSION['relation'] == ""){ $chkmsg .= "Please enter relationship."."<br/>"; } if($_SESSION['state_issues'] == ""){ $chkmsg .= "Please specify if you have a Georgia state-issued identification."."<br/>"; } if($_SESSION['hear'] == ""){ $chkmsg .= "Please select How did you hear about Georgia TeenWork? "."<br/>"; } if($ind_interest == ""){ $chkmsg .= "Please specify area of interest."."<br/>"; } if($_SESSION['like_work'] == ""){ $chkmsg .= "Please select Do you like to work alone or as a part of a team?"."<br/>"; } if($teen_qualification == ""){ $chkmsg .= "Please specify your qualifications."."<br/>"; } if($work_style == ""){ $chkmsg .= "Please specify your work styles."."<br/>"; } if($posses == ""){ $chkmsg .= "Please specify your possessness."."<br/>"; } echo "<div style='color:#000;font-weight:bold;'>".$chkmsg."</div>"; }else{ $to = $_SESSION['email']; $subject = "Your TeenWork Application Form Confirmation"; $from = "GeorgiaTeenWork@dhr.state.ga.us"; $headers = 'MIME-Version: 1.0' . "\r\n"; $headers .= 'Content-type: text/html; charset=iso-8859-1' . "\r\n"; $headers .= "From: $from"; $body ='<html> <head> </head> <body> <font style="font-family:Arial, Helvetica, sans-serif;color:#000000;" size="4"> <b> Dear Georgia TeenWork Applicant,<br/><br/> Thank you for your application to the Georgia TeenWork Program. This email is to confirm that your application has been received. You will be contacted within the coming weeks with the next steps of the application process by a Recruitment and Retention Coach that is assigned to your specific region within the state. In the meantime, please feel free to visit our website at www.georgiateenwork.org or call us at 1-888-884-4712. Again, thank you for your interest in the Georgia TeenWork Program.<br/><br/> Best Regards,<br/><br/> Georgia TeenWork<br/> Website: www.georgiateenwork.org<br/> Email: GeorgiaTeenWork@dhr.state.ga.us </b></font> </body></html>'; mail($to, $subject, $body,$headers); // code by anita $cname= $_SESSION['county']; $qryd = mysql_query("SELECT * from teenwork_county where name = '$cname'"); $rowd = mysql_fetch_array($qryd); $regiond = $rowd['region']; // end code $insQry="INSERT INTO youthdata (fosteryouth, haveFoodstamps, havetanf, haveiep, havedependent , dob, city, state, emailId, firstname, lastname, middlename, address, county, region,needaccomodation, accomodationtype, highschool, othrhighschoolormiddle, college, level,cellphone,homephone,altphone,bestcontactway,emergencycontactname,emergencyphone1, emergencyphone2,emergencyrelationship,stateissuedid,age,zip_code,security_number,industry_interest,like_work,willing_work,emp_company_name,emp_phn_no,emp_contact_name,emp_other_info,employed,teen_qualification,work_style,posses,emp_experience,emp_longer_working,income_eligible,hear_about,emergencyemail) VALUES('".$_SESSION['fosterYouth']."','".$_SESSION['foodstamps']."','".$_SESSION['tanf']."','".$_SESSION['iep']."','".$_SESSION['dependent']."','".$dat."','".addslashes($_SESSION['city'])."','".addslashes($_SESSION['state'])."','".addslashes($_SESSION['email'])."','".addslashes($_SESSION['firstname'])."','".addslashes($_SESSION['lastname'])."','".addslashes($_SESSION['middlename'])."','".addslashes($_SESSION['address'])."','".$_SESSION['county']."','".$regiond."','".addslashes($_SESSION['accomodation'])."','".addslashes($accomodationtype)."','".addslashes($_SESSION['highschool'])."','".addslashes($_SESSION['othHIghSchool'])."','".addslashes($_SESSION['college'])."','".$_SESSION['level'] ."','".addslashes($_SESSION['phone'])."','".addslashes($_SESSION['hphone'])."','".addslashes($_SESSION['aphone'])."','".addslashes($_SESSION['contact'])."','". addslashes($_SESSION['emercontact'])."','".addslashes($_SESSION['phone1'])."','".addslashes($_SESSION['phone2'])."','".addslashes($_SESSION['relation'])."','".$_SESSION['state_issues']."','".addslashes($_SESSION['age'])."','".addslashes($_SESSION['zipcode'])."','".$_SESSION['security_number']."','".$ind_interest."','".$_SESSION['like_work']."','".$_SESSION['willing_work']."','".addslashes($_SESSION['company_name'])."','".addslashes($_SESSION['phone_no'])."','".addslashes($_SESSION['contact_name'])."','".addslashes($_SESSION['imp_info'])."','".$_SESSION['employed']."','".$teen_qualification."','".$work_style."','".$posses."','".addslashes($_SESSION['emp_exp'])."','".addslashes($_SESSION['longer_working'])."','".$_SESSION['income_eligible']."','".addslashes($_SESSION['hear'])."','".addslashes($_SESSION['email2'])."')"; mysql_query($insQry) or die(mysql_error()); echo "<script>document.location.href='http://www.georgiateenwork.org/thank_you_for_youth_application.html';</script>"; exit(); } } ?>
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