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website to accept student comments about school
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IT & Programming > Website Design

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The client has made the following changes to the job.

Description
Date

Job canceled.

Jan 30, 2011
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Job Description

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  • Posted: Mon, Jan 17, 2011
  • Time Left: Closed
  • Location: Anywhere
  • Client prefers freelancers from:
    Anywhere

    You are still able to submit a proposal for this job.

    The client prefers freelancers from
    a different location.

    You're still able to submit a proposal for this job, regardless of your location.
  • Start: Immediately
  • Budget: Less than $500
  • Fixed Price Job
  • Elance Escrow Protection
  • U.S. freelancers must have W9
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Hello,

I would like to have a simple website designed that would essentially have one function. It would be a website where (graduate) students could fill out and submit a simple form. The form would have the fields:

First Name
Last Initial
University (empty box)
Year (dropdown menu 1, 2, ...)
Country of Origin
What has been your school experience? (large text box with 3000 character limit)
email (optional)
A captcha (the good ones that take in books and ask for human input)
a submit button

After submitting, the data would be stored in an easy to access and downloadable database format.

For the site design, I'm imagining something like a white cloud floating in the middle of the page with an academic institution as the background behind the input text thing. There might be one link to a pdf or other document with a terms/conditions of submission.

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Job ID: 22639645
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