Web Application Form to Database & API Check

**Application Form to Database & API Check **I require a programmer competent and with experience in implementing PHP and MySQL to make a web based Application Form to Database with some API checks ## Deliverables I require a programmer competent and with experience in implementing PHP and MySQL to make a web based Application Form to Database with some API checks The process is generalized as follows: User fills in a form of my website requesting a job position The form data is validated to ensure correct formatting of fields The form data is saved to a MySQL database Verifications checks run against data (PHP APIs or SOAP) 1. Telephone Verification Service for Applicant ([[login to view URL]][1]) if fails 2. Telephone Number Identification (checked and output stored against applicant in database) [[login to view URL]][2] 3. Fraud API (checked and stored against applicant in database) [[login to view URL]][3] Results are saved against the application in the database Notification of applicant - email sent to administrator Process completed Thanks >>> I was requested for form fields: First name Last name Street Address City ZIP / Postal Code State Country (Country List - United States default value) Email Phone Instant Messenger Type (Dropdown Box) Screen Name (Text Field) Gender (Male or Female) Occupation (Text field) Date of Birth (Must be 18+ validate DOB) Payment Method Type Paypal Moneybookers Account ID / Email Referred by (Text Field) Prior Experience (Yes with text fields for Who & When) Yes Who? When? No Best Time to Contact (Dropdown with following values) Morning Afternoon Evening Contact Preference Type (Dropdown) Phone Instant Messenger Email Capture Image Identification Terms of Service (Check box TOS linked to TOS page) Accept An example can be seen at [login to view URL]@[login to view URL] On top of these field then the output from the API would need to be added * * *This broadcast message was sent to all bidders on Friday Oct 17, 2008 10:36:08 AM: Description updated with field I need on the form as requested by several bidders