<%@ Language="VBScript" %> <% '**************************************** ' Capture User Info & Time '**************************************** sv1 = request.servervariables("HTTP_USER_AGENT") sv2 = request.servervariables("REMOTE_ADDR") mydate = (FormatDateTime(Now(),1) & " " ) mytime = (FormatDateTime(Now(),3) & " " ) '**************************************** ' Capture URL '**************************************** t1 = request.servervariables("SERVER_NAME") t2 = request.servervariables("SCRIPT_NAME") t3 = "http://" & t1 & t2 set rsinfo = Request.form 'Following line must contain "Name" (B1) AND "Value" (Submit Form) of the Submit button If request("employmentSubmit") = "Send Application" then '**************************************** ' Create Mailer Object '**************************************** set mailer = server.createobject("SMTPsvg.mailer") mailer.fromname = rsinfo("name") mailer.fromaddress = rsinfo("email") mailer.replyto = rsinfo("email") mailer.subject = "Employment Application" mailer.remotehost = "mail.mmiusa.com" '**************************************** ' Change the following to the recipient's mailing address '**************************************** mailer.addrecipient "HyLine Cruises", "hylinejobs@koamedia.com" 'mailer.addrecipient "David Fontes", "dfontes@koamedia.com" strMsgHeader = "Form Information Follows: " & vbCrLf for i = 1 to Request.Form.Count strMsgInfo = strMsgInfo & Request.Form.Key(i) & ": " & Request.Form.Item(i) & vbCrLf next strMsgFooter = vbCrLf & "End of form information" Mailer.BodyText = strMsgHeader & strMsgInfo & strMsgFooter Mailer.BodyText = " " Mailer.BodyText = " " Mailer.BodyText = " " Mailer.BodyText = " " Mailer.BodyText = "USER INFORMATION:" Mailer.BodyText = sv1 Mailer.BodyText = sv2 Mailer.BodyText = mydate Mailer.BodyText = mytime Mailer.BodyText = t3 'Mailer.SendMail if Mailer.SendMail then response.redirect "thanks.html" else msg = "

Please verify your e-mail address!

Error was " & Mailer.Response & "
You may use your Back Button on you browser to return to the completed form.

" end if '**************************** 'else end if %> Hy-Line Cruises
Nantucket | Martha's Vineyard | Hyannisport Harbor Cruises | Fishing Trips | Cape Cod Canal Cruises

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Seasonal Employment Application

Click Here for A Printable Version
* Date:
* Name:
Comments:
Permanent Address (W-2 will be sent to this address) 
* Street:
* City:
* State:
* Zip Code:
* Home Phone:
Cell Phone:
* E-mail:
Local Seasonal Address, if different from above
Street:
City:
State:
Zip Code:
Local Phone:
Age
*Please check one:
 
School Attended
High School 
Name:
City\State:
  Years Attended:
Diploma:
College
Name:
City\State:
Years Attended:
Diploma:
Other
Specify:
Dates Available for Work
* Start Date:
* Finish Date:
* Availablability:
References
* 1. Name:
Relationship:
Phone #:
* 2. Name:
Relationship:
Phone #:
* 3. Name:
Relationship:
Phone #:
Friends or Relatives Employed by HY-LINE
1. Name:
2. Name:
Please list all Past and Present Employment beginning with your most recent.
(if none are available enter "none")
* Name of Company:
* Address:
* Telephone:
* Date of Employment:
* Supervisor's Name:
* Reason for Leaving:
* Name of Company:
* Address:
* Telephone:
* Date of Employment:
* Supervisor's Name:
* Reason for Leaving:
   
* Name of Company:
* Address:
* Telephone:
* Date of Employment:
* Supervisor's Name:
* Reason for Leaving:
   
* I authorize HY-LINE Cruises to verify any and all information
contained within this application:
 
   
* Indicates a required field.




220 Ocean Street, Hyannis, Cape Cod, Massachusetts (800) 492-8082