Cancer BU > CloudPages > API Internal Testing Forms > Hillman Volunteer Opportunities - TEST FORM


      <h2>Hillman Volunteer Opportunities - Test Form</h2>
      <form action="https://pages.upmc.com/hillman-cancer-center-volunteer-opportunities-api-internal-testing-form" method="post">
         <label>Email</label>
         <input type="text" name="email_address"><br>
         <label>First Name</label>
         <input type="text" name="first_name"><br>
         <label>Last Name</label>
         <input type="text" name="last_name"><br><br>

         <label>Highest Level of Education</label>
         <input type="text" name="highest_edu_level"><br><br>

         <label>Please list specific degrees with year of graduation</label>
         <textarea type="text" name="degrees_and_grad_years"></textarea><br><br>

         <label>Goals</label>
         <textarea type="text" name="goals"></textarea><br><br>

         <label>Didactic (Lecture/Laboratory)</label><br>
            <input type="radio" id="Yes" name="didactic" value="Yes">
                <label for="Yes">Yes</label><br>
            <input type="radio" id="No" name="didactic" value="No">
                <label for="No">No</label><br><br>

        <label>Preferred Setting (check all that apply)</label><br>
            <select name="preferred_setting" id="preferred_setting" multiple>
                <option value="Biochemistry">Biochemistry</option>
                <option value="Molecular Biochemistry">Molecular Biochemistry</option>
                <option value="Immunology">Immunology</option>
            </select><br><br>

        <label><strong>Schedule of availability</strong> (if availble, type "Yes"...if unavailable, leave blank)</label><br>
        <label>Monday</label>
         <input type="text" name="available_monday"><br>
        <label>Tuesday</label>
         <input type="text" name="available_tuesday"><br>
        <label>Wednesday</label>
         <input type="text" name="available_wednesday"><br>
        <label>Thursday</label>
         <input type="text" name="available_thursday"><br>
        <label>Friday</label>
         <input type="text" name="available_friday"><br><br>

        <label><strong>Resume Upload</strong> (On the upmc form, I assume this will be a "file upload" button, that will then most likely pass some type of file name or URL.<br> For testing purposes, feel free to just add a fake file name like "test.pdf" to the following text field)</label>
         <input type="text" name="resume_upload"><br><br>

         <label>Category</label>
         <input type="text" name="category"><br>
         <label>Subcategory</label>
         <input type="text" name="subcategory"><br><br>
        
         <input name="submitted" type="hidden" value="true" />
         <input type="submit" value="Submit">
      </form>