Public feed #599051

Unnamed

public text v1 · immutable
Raw Edit
·published 2007-07-01 19:47 UTC
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if(isset($_POST["submit"])){
	$error_msg='';
	if(trim($_POST["userName"])=='' || strlen(trim($_POST["userName"])) < 3 || <!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN"
"http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<!-- saved from url=(0014)about:internet -->
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<title>Blackpool YOF @ rubothered.co.uk</title>
<?
include("include/yellow.inc");
include("include/settings.php");
$page=$_GET['page']; 
?>
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<style type="text/css">
d img {display: block;}
d img {display: block;}td img {display: block;}a:link {
	color: #000000;
}
a:visited {
	color: #000000;
}
a:hover {
	color: #FFFF00;
}
a:active {
	color: #000000;
}
a {
	font-family: Verdana, Arial, Helvetica, sans-serif;
}
</style>
<!--Fireworks 8 Dreamweaver 8 target.  Created Tue May 29 18:05:25 GMT+0100 (GMT Standard Time) 2007-->
</head>
<body bgcolor="#ffffff">
<font face="Verdana, Arial, Helvetica, sans-serif"><b>
	<marquee bgcolor="#0066FF" scrollamount="3">R U Bothered Latest News :: <? echo $cmsMOTD; 
	if($ukypvote==1){ echo " :: <a href='http://ukyp.rubothered.co.uk/vote.php' target='_blank'>Vote for your UKYP now!</a>";
	} ?> :: <? echo $tickerText; ?></marquee></b></font><br />
<table width="735" border="0" align="center" cellpadding="0" cellspacing="0">
<!-- fwtable fwsrc="Untitled" fwbase="top.jpg" fwstyle="Dreamweaver" fwdocid = "1912419231" fwnested="0" -->
  <tr>
   <td><img src="img/spacer.gif" width="109" height="1" border="0" alt="" /></td>
   <td><img src="img/spacer.gif" width="103" height="1" border="0" alt="" /></td>
   <td><img src="img/spacer.gif" width="103" height="1" border="0" alt="" /></td>
   <td><img src="img/spacer.gif" width="104" height="1" border="0" alt="" /></td>
   <td><img src="img/spacer.gif" width="103" height="1" border="0" alt="" /></td>
   <td><img src="img/spacer.gif" width="103" height="1" border="0" alt="" /></td>
   <td><img src="img/spacer.gif" width="110" height="1" border="0" alt="" /></td>
   <td><img src="img/spacer.gif" width="1" height="1" border="0" alt="" /></td>
  </tr>

  <tr>
   <td colspan="7"><img name="top_r1_c1" src="img/top_r1_c1.jpg" width="735" height="235" border="0" id="top_r1_c1" alt="" /></td>
   <td><img src="img/spacer.gif" width="1" height="235" border="0" alt="" /></td>
  </tr>
  <tr>
   <td><a href="http://www.rubothered.co.uk"><img name="top_r2_c1" src="img/top_r2_c1.jpg" width="109" height="49" border="0" id="top_r2_c1" alt="" /></a></td>
   <td><a href="http://bypc.rubothered.co.uk"><img name="top_r2_c2" src="img/top_r2_c2.jpg" width="103" height="49" border="0" id="top_r2_c2" alt="" /></a></td>
   <td><a href="http://blackpoolvoice.rubothered.co.uk"><img name="top_r2_c3" src="img/top_r2_c3.jpg" width="103" height="49" border="0" id="top_r2_c3" alt="" /></a></td>
   <td><a href="http://biffy.rubothered.co.uk"><img name="top_r2_c4" src="img/top_r2_c4.jpg" width="104" height="49" border="0" id="top_r2_c4" alt="" /></a></td>
   <td><a href="http://yc.rubothered.co.uk"><img name="top_r2_c5" src="img/top_r2_c5.jpg" width="103" height="49" border="0" id="top_r2_c5" alt="" /></a></td>
   <td><a href="#"><img name="top_r2_c6" src="img/top_r2_c6.jpg" width="103" height="49" border="0" id="top_r2_c6" alt="" /></a></td>
   <td><a href="http://ukyp.rubothered.co.uk"><img name="top_r2_c7" src="img/top_r2_c7.jpg" width="110" height="49" border="0" id="top_r2_c7" alt="" /></a></td>
   <td><img src="img/spacer.gif" width="1" height="49" border="0" alt="" /></td>
  </tr>
  <tr>
  <td bordercolor="#0066FF" bgcolor="#FFFF33" valign="top"><font face="Verdana, Arial, Helvetica, sans-serif"><?

$self = $_SERVER['PHP_SELF'];
	
// Connect
$conn 	= mysql_connect($hnam,$unam,$pnam) or die(mysql_error());
$rs 		= mysql_select_db($dnam, $conn) or die(mysql_error());

// Select Data
$sql = "select * from cms_menu where menuCategory='yof' order by menuOrder asc";

// Execute Query
$rs = mysql_query( $sql, $conn ) or die(mysql_error());
echo "<p align='left'>";
while( $row = mysql_fetch_array( $rs ) )
{
echo ( "<a href='" . $row["menuUrl"] . "'><img src='" . $row["menuIMG"] . "' border='0' alt='" . $row["menuName"] . "'></a><br>" );
}
echo "</p>";
?></font></td>
   <td colspan="6" valign="top"> <font face="Verdana, Arial, Helvetica, sans-serif" color="#000000">
   <p align='right'><h2 align='right'>Apply Online</h2></font></p>
     <blockquote>
       <p> <font face="Verdana, Arial, Helvetica, sans-serif" color="#000000">
        To apply online please ensure that you refer to the guidence notes available on this website. As well as that please make sure that you complete all of the fields marked with '*' as they are required fields without which your application will be unable to be processed. If you require any help completing the application then please contact <a href="mailto:stuart.dunne@blackpool.gov.uk">Stuart Dunne</a> at Blackpool Access & Participation Unit.<br /><br />
<?		 
		 
        $self = $_SERVER['PHP_SELF'];
        $appName = $_POST['appName'];
		$appDOB_Day = $_POST['appDOB_Day'];
		$appDOB_Mon = $_POST['appDOB_Mon'];
		$appDOB_Year = $_POST['appDOB_Year'];
		$appWard = $_POST['appWard'];
		$appPhone = $_POST['appPhone'];
		$appEmail = $_POST['appEmail'];
		$appType = $_POST['appType'];
		$appCompleting = $_POST['appCompleting'];
		$appAmount = $_POST['appAmount'];
		$appFullCost = $_POST['appFullCOst'];
		$appDescription = $_POST['appDescription'];
		$appBreakdown = $_POST['appBreakdown'];
		$appSporting = $_POST['appSporting'];
		$appCultural = $_POST['appCultural'];
		$appRecreational = $_POST['appRecreational'];
		$appVolunteering = $_POST['appVolunteering'];
		$appSafe = $_POST['appSafe'];
		$appHealth = $_POST['appHealth'];
		$appEnjoy = $_POST['appEnjoy'];
		$appEconomic = $_POST['appEconomic'];
		$appPositive = $_POST['appPositive'];
		$appHowInvolved = $_POST['appHowInvolved'];
		$appYPBenefit = $_POST['appYPBenefit'];
		$appBefore = $_POST['appBefore'];
		$appBeforeHow = $_POST['appBeforeHow'];
		$appChequeTo = $_POST['appChequeTo'];
		$appSupportWorker = $_POST['appSupportWorker'];
		$appAgency = $_POST['appAgency'];
		$appSupportContact = $_POST['appSupportContact'];
?>

<form action="<? echo( $self ); ?>" method="post">

<table><tr><td valign="top">Applicant Name:</td>
<td valign="top"><input type="text" name="appName" size="8"></td></tr>

<td valign="top">Date of Birth: </td>
<td valign="top"><input type="text" name="appDOB_Day" size="3"> <input type="text" name="appDOB_Mon" size="3"> <input type="text" name="appDOB_Year" size="5"> (DD/MM/YYYY)</td></tr>

<td valign="top">Ward: </td>
<td valign="top"></td></tr>

<td valign="top">Contact Phone Number: </td>
<td valign="top"><input type="text" name="appPhone" size="14"></td></tr>

<td valign="top">Email: </td>
<td valign="top"><input type="text" name="appEmail" size="30"></td></tr>

<td valign="top">Grant Type: </td>
<td valign="top"><select name="appType"><option value="individual">Individual Grant</option><option value="group">Group Grant</option></select></td></tr>

<td valign="top">Number of young people completing this form: </td>
<td valign="top"><input type="text" name="appCompleting" size="5"></td></tr>

<td valign="top">Amount Applying For: </td>
<td valign="top"><input type="text" name="appAmount" size="8"></td></tr>

<td valign="top">Is this the full cost of the project: </td>
<td valign="top"><select name="appFullCost"><option value="yes">Yes</option><option value="no">No</option></select></td></tr>

<td valign="top">Give a brief description of the project: </td>
<td valign="top"><textarea name="appDescription" rows="5" cols="40"></textarea></td></tr>

<td valign="top">Please give a list of expenditure: </td>
<td valign="top"><textarea name="appBreakdown" rows="5" cols="40"></textarea></td></tr>

<td valign="top">Which of the following does the project include: </td>
<td valign="top"><input name="appSporting" type="checkbox" value="yes"> - Sports<br />
<input name="appCultural" type="checkbox" value="yes"> - Culture<br />
<input name="appRecreational" type="checkbox" value="yes"> - Recreation<br />
<input name="appVolunteering" type="checkbox" value="yes"> - Volunteering</td></tr>

<td valign="top">Which of the following areas does the project fit into: </td>
<td valign="top"><input name="appSafe" type="checkbox" value="yes"> - Staying Safe<br />
<input name="appHealth" type="checkbox" value="yes"> - Being Healthy<br />
<input name="appEnjoy" type="checkbox" value="yes"> - Enjoying and Achieving<br />
<input name="appEconomic" type="checkbox" value="yes"> - Economic Wellbeing<br />
<input name="appPositive" type="checkbox" value="yes"> - Making a Positive Contribution</td></tr>

<td valign="top">How have young people been involved: </td>
<td valign="top"><textarea name="appHowInvolved" rows="5" cols="40"></textarea></td></tr>

<td valign="top">How many young people aged 13-19 will benefit from this project: </td>
<td valign="top"><textarea name="appYPBenefit" rows="5" cols="40"></textarea></td></tr>

<td valign="top">Has you or your group applied for money before: </td>
<td valign="top"><input name="appBefore" type="checkbox" value="no"> - No<br />
<textarea name="appBeforeHow" rows="5" cols="40">If yes please describe?</textarea></td></tr>

<td valign="top">If successful who would you like the cheque payable to: </td>
<td valign="top"><textarea name="appChequeTo" rows="5" cols="40"></textarea></td></tr>

<td valign="top" colspan="2"><i>(Applicants under the age of 18 must nominate a parent/legal guardian/group)</i></td></tr>

<td valign="top">Support Worker Name: </td>
<td valign="top"><input type="text" name="appSupportWorker" size="20"></td></tr>

<td valign="top">Agency/Organisation: </td>
<td valign="top"><input type="text" name="appAgency" size="20"></td></tr>

<td valign="top">Contact Phone Number: </td>
<td valign="top"><input type="text" name="appSupportContact" size="20"></td></tr>

<td align="center">
<input type="submit" value="Apply Now"></td></tr></table></form>

<?
#
if(isset($_POST["submit"])){
#
        $error_msg='';
#
        }
#
        if(trim($_POST["appName"])=='') {
#
                $error_msg.="Please complete your name.<br>";
#
        }
#
        if(trim($_POST["appDOB_Day"])=='') {
#
                $error_msg.="Please complete the day of your birth.<br>";
#
        }
#
	    if(trim($_POST["appDOB_Mon"])=='') {
#
                $error_msg.="Please complete the month of your birth.<br>";
#
        }
#
        if(trim($_POST["appDOB_Year"])=='') {
#
                $error_msg.="Please complete the year of your birth.<br>";
#
        }
#
        if(trim($_POST["appWard"])=='') {
#
                $error_msg.="Please complete your ward.<br>";
#
        }
#
        if(trim($_POST["appPhone"])=='') {
#
                $error_msg.="Please complete your phone number.<br>";
#
        }
#
        if(trim($_POST["appEmail"])=='') {
#
                $error_msg.="Please complete your email address.<br>";
#
        }
#
        if(trim($_POST["appCompleting"])=='') {
#
                $error_msg.="Please complete how many young people are filling out this form.<br>";
#
        }
#
        if(trim($_POST["appAmount"])=='') {
#
                $error_msg.="Please complete the amount you are applying for.<br>";
#
        }
#
        if(trim($_POST["appFullCost"])=='') {
#
                $error_msg.="Please complete the full cost of your project.<br>";
#
        }
#
        if(trim($_POST["appDescription"])=='') {
#
                $error_msg.="Please complete the description of your project.<br>";
#
        }
#
        if(trim($_POST["appBreakdown"])=='') {
#
                $error_msg.="Please complete the breakdown of costs for your project.<br>";
#
        }
#
        if(trim($_POST["appHowInvolved"])=='') {
#
                $error_msg.="Please complete how young people have been involved in the project planning.<br>";
#
        }
#
        if(trim($_POST["appYPBenefit"])=='') {
#
                $error_msg.="Please complete which young people will benefit.<br>";
#
        }
#
        if(trim($_POST["appChequeTo"])=='') {
#
                $error_msg.="Please state who you wish your cheque made payable to.<br>";
#
        }
#
        // display error message if any, if not, proceed to other processing
#
        if($error_msg=='')
#
        {
    $conn=mysql_connect( "$hnam", "$unam", "$pnam" )
              or die(mysql_error());

    $rs = mysql_select_db( "$dnam", $conn )
              or die(mysql_error());

    $sql="insert into cms_yof_apps ( appName, appDOB_Day, appDOB_Mon, appDOB_Year, appWard, appPhone, appEmail, appType, appCompleting, appAmount, appFullCost, appDescription, appBreakdown, appSporting, appCultural, appRecreational, appVolunteering, appSafe, appHealth, appEnjoy, appEconomic, appPositive, appHowInvolved, appYPBenefit, appBefore, appBeforeHow, appChequeTo, appSupportWorker, appAgency, appSupportContact )
              values ( '$appName', '$appDOB_Day', '$appDOB_Mon', '$appDOB_Year', '$appWard', '$appPhone', '$appEmail', '$appType', '$appCompleting', '$appAmount', '$appFullCost', '$appDescription', '$appBreakdown', '$appSporting', '$appCultural', '$appRecreational', '$appVolunteering', '$appSafe', '$appHealth', '$appEnjoy', '$appEconomic', '$appPositive', '$appHowInvolved', '$appYPBenefit', '$appBefore', '$appBeforeHow', '$appChequeTo', '$appSupportWorker', '$appAgency', '$appSupportContact' )";

    $res = mysql_query( $sql, $conn );

if($res){ echo( "Application Submitted" ); }
}

?>
		 
		 </font>
         </p>
    </blockquote></td>
		 </tr>
  <tr>
    <td colspan="7"><div align="center"><font size="-2" face="Verdana, Arial, Helvetica, sans-serif">Designed by <? echo ( $designby ) ?><br />
      Copyright <? echo ( $copyright ) ?><br />
    Version <? echo ( $version ) ?></font></div></td>
  </tr>
</table>
</body>
</html>