formformform

<div id=”pagecontentCover“>
<div class=”container“>
<div class=”row“>
<div class=”col-lg-9 col-md-8 col-sm-8 col-xs-12“>
<div id=”contentCol“>
<div id=”pageHeading“>
<h1>Başvuru Formu</h1>
</div>
<div id=”pageText“>
<div class=”row“>
<div class=”col-xs-12 col-sm-12 col-md-12 col-lg-10 col-lg-offset-1“>
<form id=”career_form” name=”career_form” method=”post” action=”/tr/ajax.asp?type=career” onsubmit=”return check_career_form()“>
<h3>Genel Bilgiler</h3>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label for=”field1“><span class=”required“>*</span>Kurumumuzda Hangi Görevde Çalışmak İstiyorsunuz?</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<select class=”form-control” name=”field1“>
<option value=””>— Seçiniz —</option>
<option value=”Anasınıfı“>Anasınıfı</option>
<option value=”İlköğretim“>İlköğretim</option>
</select>
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label for=”field2“><span class=”required“>*</span>Bölüm – Branş</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<select class=”form-control” name=”field2“>
<option value=””>— Seçiniz —</option>
<option value=”Müdür Yardımcısı“>Müdür Yardımcısı</option>
<option value=”Sınıf öğretmeni“>Sınıf öğretmeni</option>
<option value=”Anasınıfı Öğretmeni“>Anasınıfı Öğretmeni</option>
<option value=”Türkçe Öğretmeni“>Türkçe Öğretmeni</option>
<option value=”Matematik Öğretmeni“>Matematik Öğretmeni</option>
<option value=”Fen ve Teknoloji Öğretmeni“>Fen ve Teknoloji Öğretmeni</option>
<option value=”Sosyal Bilgiler Öğretmeni“>Sosyal Bilgiler Öğretmeni</option>
<option value=”Görsel Sanatlar Öğretmeni“>Görsel Sanatlar Öğretmeni</option>
<option value=”Müzik Öğretmeni“>Müzik Öğretmeni</option>
<option value=”Beden Eğitimi Öğretmeni“>Beden Eğitimi Öğretmeni</option>
<option value=”İngilizce Öğretmeni“>İngilizce Öğretmeni</option>
<option value=”Fransızca Öğretmeni“>Fransızca Öğretmeni</option>
<option value=”Bilişim Teknolojileri Öğretmeni“>Bilişim Teknolojileri Öğretmeni</option>
<option value=”Diğer“>Diğer</option>
</select>
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label for=”field3“><span class=”required“>*</span>Öğretmenlik Sertifikanız Var mı?</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<div class=”pull-left radios“><label for=”radio1“>Evet</label><input id=”radio1” class=”form-control boxes” type=”radio” name=”field3” value=”Evet” checked /></div>
<div class=”pull-left radios“><label for=”radio2“>Hayır</label><input id=”radio2” class=”form-control boxes” type=”radio” name=”field3” value=”Hayır” /></div>
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label for=”field4“><span class=”required“>*</span>Kıdem (Yıl)</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field4” name=”field4” value=”” />
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label for=”field5“><span class=”required“>*</span>Stajyerliğiniz Kalktı mı?</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<div class=”pull-left radios“><label for=”radio3“>Evet</label><input id=”radio3” class=”form-control boxes” type=”radio” name=”field5” value=”Evet” checked /></div>
<div class=”pull-left radios“><label for=”radio4“>Hayır</label><input id=”radio4” class=”form-control boxes” type=”radio” name=”field5” value=”Hayır” /></div>
</div>
</div>
<h3>Kişisel Bilgiler</h3>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label for=”field6“><span class=”required“>*</span>TC. Kimlik No</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field6” name=”field6” value=”” size=”11” />
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label for=”field7“><span class=”required“>*</span>Adınız Soyadınız</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field7” name=”field7” value=”” />
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label for=”field8“><span class=”required“>*</span>Doğum yeri</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field8” name=”field8” value=”” size=”10” />
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label><span class=”required“>*</span>Doğum tarihi</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<select class=”form-control dateSelect” name=”field9“>
<option value=””>Gün</option>
<option value=”1“>1</option>
<option value=”2“>2</option>
<option value=”3“>3</option>
<option value=”4“>4</option>
<option value=”5“>5</option>
<option value=”6“>6</option>
<option value=”7“>7</option>
<option value=”8“>8</option>
<option value=”9“>9</option>
<option value=”10“>10</option>
<option value=”11“>11</option>
<option value=”12“>12</option>
<option value=”13“>13</option>
<option value=”14“>14</option>
<option value=”15“>15</option>
<option value=”16“>16</option>
<option value=”17“>17</option>
<option value=”18“>18</option>
<option value=”19“>19</option>
<option value=”20“>20</option>
<option value=”21“>21</option>
<option value=”22“>22</option>
<option value=”23“>23</option>
<option value=”24“>24</option>
<option value=”25“>25</option>
<option value=”26“>26</option>
<option value=”27“>27</option>
<option value=”28“>28</option>
<option value=”29“>29</option>
<option value=”30“>30</option>
<option value=”31“>31</option>
</select>&nbsp;
<select class=”form-control dateSelect” name=”field10“>
<option value=””>Ay</option>
<option value=”1“>Ocak</option>
<option value=”2“>Şubat</option>
<option value=”3“>Mart</option>
<option value=”4“>Nisan</option>
<option value=”5“>Mayıs</option>
<option value=”6“>Haziran</option>
<option value=”7“>Temmuz</option>
<option value=”8“>Ağustos</option>
<option value=”9“>Eylül</option>
<option value=”10“>Ekim</option>
<option value=”11“>Kasım</option>
<option value=”12“>Aralık</option>
</select>&nbsp;
<select class=”form-control dateSelect” name=”field11“>
<option value=””>Yıl</option>
<option value=”1910“>1910</option>
<option value=”1911“>1911</option>
<option value=”1912“>1912</option>
<option value=”1913“>1913</option>
<option value=”1914“>1914</option>
<option value=”1915“>1915</option>
<option value=”1916“>1916</option>
<option value=”1917“>1917</option>
<option value=”1918“>1918</option>
<option value=”1919“>1919</option>
<option value=”1920“>1920</option>
<option value=”1921“>1921</option>
<option value=”1922“>1922</option>
<option value=”1923“>1923</option>
<option value=”1924“>1924</option>
<option value=”1925“>1925</option>
<option value=”1926“>1926</option>
<option value=”1927“>1927</option>
<option value=”1928“>1928</option>
<option value=”1929“>1929</option>
<option value=”1930“>1930</option>
<option value=”1931“>1931</option>
<option value=”1932“>1932</option>
<option value=”1933“>1933</option>
<option value=”1934“>1934</option>
<option value=”1935“>1935</option>
<option value=”1936“>1936</option>
<option value=”1937“>1937</option>
<option value=”1938“>1938</option>
<option value=”1939“>1939</option>
<option value=”1940“>1940</option>
<option value=”1941“>1941</option>
<option value=”1942“>1942</option>
<option value=”1943“>1943</option>
<option value=”1944“>1944</option>
<option value=”1945“>1945</option>
<option value=”1946“>1946</option>
<option value=”1947“>1947</option>
<option value=”1948“>1948</option>
<option value=”1949“>1949</option>
<option value=”1950“>1950</option>
<option value=”1951“>1951</option>
<option value=”1952“>1952</option>
<option value=”1953“>1953</option>
<option value=”1954“>1954</option>
<option value=”1955“>1955</option>
<option value=”1956“>1956</option>
<option value=”1957“>1957</option>
<option value=”1958“>1958</option>
<option value=”1959“>1959</option>
<option value=”1960“>1960</option>
<option value=”1961“>1961</option>
<option value=”1962“>1962</option>
<option value=”1963“>1963</option>
<option value=”1964“>1964</option>
<option value=”1965“>1965</option>
<option value=”1966“>1966</option>
<option value=”1967“>1967</option>
<option value=”1968“>1968</option>
<option value=”1969“>1969</option>
<option value=”1970“>1970</option>
<option value=”1971“>1971</option>
<option value=”1972“>1972</option>
<option value=”1973“>1973</option>
<option value=”1974“>1974</option>
<option value=”1975“>1975</option>
<option value=”1976“>1976</option>
<option value=”1977“>1977</option>
<option value=”1978“>1978</option>
<option value=”1979“>1979</option>
<option value=”1980“>1980</option>
<option value=”1981“>1981</option>
<option value=”1982“>1982</option>
<option value=”1983“>1983</option>
<option value=”1984“>1984</option>
<option value=”1985“>1985</option>
<option value=”1986“>1986</option>
<option value=”1987“>1987</option>
<option value=”1988“>1988</option>
<option value=”1989“>1989</option>
<option value=”1990“>1990</option>
<option value=”1991“>1991</option>
<option value=”1992“>1992</option>
<option value=”1993“>1993</option>
<option value=”1994“>1994</option>
<option value=”1995“>1995</option>
<option value=”1996“>1996</option>
<option value=”1997“>1997</option>
<option value=”1998“>1998</option>
<option value=”1999“>1999</option>
<option value=”2000“>2000</option>
<option value=”2001“>2001</option>
<option value=”2002“>2002</option>
<option value=”2003“>2003</option>
<option value=”2004“>2004</option>
</select>
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label for=”field12“><span class=”required“>*</span>Uyruğunuz</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field12” name=”field12” value=”” size=”5” />
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label for=”field13“><span class=”required“>*</span>Medeni durumunuz</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<select class=”form-control” name=”field13“>
<option value=””>—Seçiniz—</option>
<option value=”Evli“>Evli</option>
<option value=”Bekar“>Bekar</option>
</select>
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label for=”field14“><span class=”required“>*</span>Cinsiyetiniz</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<select class=”form-control” name=”field14“>
<option value=””>—Seçiniz—</option>
<option value=”Bay“>Bay</option>
<option value=”Bayan“>Bayan</option>
</select>
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label for=”field15“>Askerlik durumunuz</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<select class=”form-control” name=”field15“>
<option value=””>—Seçiniz—</option>
<option value=”———–“>————</option>
<option value=”Yaptım“>Yaptım</option>
<option value=”Yapmadım“>Yapmadım</option>
</select>
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label for=”field16“>Tecil (Yıl)</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field16” name=”field16” value=”” size=”4” />
</div>
</div>
<h3>Diğer Tamamlayıcı Bilgiler</h3>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label for=”field17“>Daha Önce Kurumumuza Başvuru Yaptınız mı?</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<div class=”pull-left radios“><label for=”radio3“>Evet</label><input id=”radio3” class=”form-control boxes” type=”radio” name=”field17” value=”Evet” checked /></div>
<div class=”pull-left radios“><label for=”radio4“>Hayır</label><input id=”radio4” class=”form-control boxes” type=”radio” name=”field17” value=”Hayır” /></div>
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label for=”field18“>Eski Başvuru Tarihi</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field18” name=”field18” value=”” size=”10” />
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label for=”field19“>Kurumumuzdan Talep Ettiğiniz Ücret</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field19” name=”field19” value=”” size=”8” />
</div>
</div>
<h3>Eğitim Bilgileri</h3>
<h4><b>Eğitim Durumu</b> – Master / Doktora</h4>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label for=”field20“>Okul Adı</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field20” name=”field20” value=”” />
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label for=”field21“>Master – Doktara Alanı</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field21” name=”field21” value=”” size=”10” />
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label for=”field22“>Mezuniyet Tarihi</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field22” name=”field22” value=”” size=”10” />
</div>
</div>
<h4><b>Eğitim Durumu</b> – Üniversite</h4>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label for=”field23“>Okul Adı</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field23” name=”field23” value=”” />
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label for=”field24“>Bölüm – Fakülte</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field24” name=”field24” value=”” />
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label for=”field25“>Mezuniyet Tarihi</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field25” name=”field25” value=”” size=”10” />
</div>
</div>
<h4><b>Eğitim Durumu</b> – Lise</h4>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label for=”field26“>Okul Adı</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field26” name=”field26” value=”” />
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label for=”field27“>Bölüm – Alan</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field27” name=”field27” value=”” />
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label for=”field28“>Mezuniyet Tarihi</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field28” name=”field28” value=”” size=”10” />
</div>
</div>
<h4><b>Eğitim Durumu</b> – İlkokul</h4>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label for=”field29“>Okul Adı</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field29” name=”field29” value=”” />
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label for=”field30“>İli</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field30” name=”field30” value=”” />
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label for=”field31“>Mezuniyet Tarihi</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field31” name=”field31” value=”” size=”10” />
</div>
</div>
<h3>Bildiğiniz Yabancı Diller</h3>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label style=”color:#f00;“>1. dil</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field32” name=”field32” value=”” size=”11” />
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label>Seviye</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<select class=”form-control” name=”field33“>
<option value=””>—Seçiniz—</option>
<option value=”Orta“>Orta</option>
<option value=”İyi“>İyi</option>
<option value=”Çokiyi“>Çokiyi</option>
</select>
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label>Öğrenildiği Yer</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field34” name=”field34” value=”” size=”10” />
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label style=”color:#f00;“>2. dil</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field35” name=”field35” value=”” size=”10” />
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label>Seviye</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<select class=”form-control” name=”field36“>
<option value=””>—Seçiniz—</option>
<option value=”Orta“>Orta</option>
<option value=”İyi“>İyi</option>
<option value=”Çokiyi“>Çokiyi</option>
</select>
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label>Öğrenildiği Yer</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field37” name=”field37” value=”” size=”10” />
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label style=”color:#f00;“>3. dil</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field38” name=”field38” value=”” size=”10” />
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label>Seviye</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<select class=”form-control” name=”field39“>
<option value=””>—Seçiniz—</option>
<option value=”Orta“>Orta</option>
<option value=”İyi“>İyi</option>
<option value=”Çokiyi“>Çokiyi</option>
</select>
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label>Öğrenildiği Yer</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field40” name=”field40” value=”” size=”10” />
</div>
</div>
<h3>Kullandığınız Bilgisayar Programları</h3>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label style=”color:#f00;“>1. program</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field41” name=”field41” value=”” />
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label>Seviye</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<select class=”form-control” name=”field42“>
<option value=””>—Seçiniz—</option>
<option value=”Orta“>Orta</option>
<option value=”İyi“>İyi</option>
<option value=”Çokiyi“>Çokiyi</option>
</select>
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label style=”color:#f00;“>2. program</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field43” name=”field43” value=”” /><br />
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label>Seviye</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<select class=”form-control” name=”field44“>
<option value=””>—Seçiniz—</option>
<option value=”Orta“>Orta</option>
<option value=”İyi“>İyi</option>
<option value=”Çokiyi“>Çokiyi</option>
</select>
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label style=”color:#f00;“>3. program</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field45” name=”field45” value=”” /><br />
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label>Seviye</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<select class=”form-control” name=”field46“>
<option value=””>—Seçiniz—</option>
<option value=”Orta“>Orta</option>
<option value=”İyi“>İyi</option>
<option value=”Çokiyi“>Çokiyi</option>
</select>
</div>
</div>
<h3>Katıldığınız Kurs, Staj, Seminer vb.</h3>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label style=”color:#f00;“>1. Etkinliğin Adı</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field47” name=”field47” value=”” />
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label>Kuruluşun Adı</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field48” name=”field48” value=”” />
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label>Süresi (Yıl)</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field49” name=”field49” value=”” size=”4” />
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label>Tarihi (Yıl)</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field50” name=”field50” value=”” size=”4” />
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label style=”color:#f00;“>2. Etkinliğin Adı</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field51” name=”field51” value=”” />
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label>Kuruluşun Adı</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field52” name=”field52” value=”” />
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label>Süresi (Yıl)</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field53” name=”field53” value=”” size=”4” />
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label>Tarihi (Yıl)</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field54” name=”field54” value=”” size=”4” />
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label style=”color:#f00;“>3. Etkinliğin Adı</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field55” name=”field55” value=”” />
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label>Kuruluşun Adı</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field56” name=”field56” value=”” />
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label>Süresi (Yıl)</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field57” name=”field57” value=”” size=”4” />
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label>Tarihi (Yıl)</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field58” name=”field58” value=”” size=”4” />
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label style=”color:#f00;“>4. Etkinliğin Adı</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field59” name=”field59” value=”” />
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label>Kuruluşun Adı</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field60” name=”field60” value=”” />
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label>Süresi (Yıl)</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field61” name=”field61” value=”” size=”4” />
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label>Tarihi (Yıl)</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field62” name=”field62” value=”” size=”4” />
</div>
</div>
<h3>İş Tecrübesi<br /><i>(En son işyerinden başlayınız.)</i></h3>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label style=”color:#f00;“>1. İşyerinin Adı/Yeri</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field63” name=”field63” value=”” />
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label>Telefonu</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field64” name=”field64” value=”” size=”11” />
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label>Göreviniz</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field65” name=”field65” value=”” />
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label>Giriş Yılı</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field66” name=”field66” value=”” size=”4” />
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label>Çıkış Yılı</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field67” name=”field67” value=”” size=”4” />
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label>Ayrılma Nedeni</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field68” name=”field68” value=”” />
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label style=”color:#f00;“>2. İşyerinin Adı/Yeri</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field69” name=”field69” value=”” />
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label>Telefonu</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field70” name=”field70” value=”” size=”11” />
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label>Göreviniz</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field71” name=”field71” value=”” />
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label>Giriş Yılı</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field72” name=”field72” value=”” size=”4” />
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label>Çıkış Yılı</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field73” name=”field73” value=”” size=”4” />
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label>Ayrılma Nedeni</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field74” name=”field74” value=”” />
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label style=”color:#f00;“>3. İşyerinin Adı/Yeri</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field75” name=”field75” value=”” />
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label>Telefonu</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field76” name=”field76” value=”” size=”11” />
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label>Göreviniz</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field77” name=”field77” value=”” />
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label>Giriş Yılı</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field78” name=”field78” value=”” size=”4” />
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label>Çıkış Yılı</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field79” name=”field79” value=”” size=”4” />
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label>Ayrılma Nedeni</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field80” name=”field80” value=”” />
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label>Alınan Mesleki Ödüller</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<textarea class=”form-control” id=”field81” name=”field81“></textarea>
</div>
</div>
<h3>Diğer Bilgiler</h3>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label>Kurumumuzda çalışan akrabanız veya<br />yakınınız var mı? Var ise adı, görevi</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<textarea class=”form-control” id=”field82” name=”field82“></textarea>
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label>İlgi alanlarınız</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<textarea class=”form-control” id=”field83” name=”field83“></textarea>
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label>Üye Olduğunuz dernek ve kuruluşlar</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<textarea class=”form-control” id=”field84” name=”field84“></textarea>
</div>
</div>
<h3>Referanslar<br /><i>(Hakkınızda bilgi alabileceğimiz kişiler. Lütfen akrabalarınızı yazmayınız.)</i></h3>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label style=”color:#f00;“><span class=”required“>*</span>Adı, Soyadı</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field85” name=”field85” value=”” />
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label><span class=”required“>*</span>Görevi</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field86” name=”field86” value=”” />
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label><span class=”required“>*</span>Telefonu</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field87” name=”field87” value=”” size=”11” />
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label style=”color:#f00;“><span class=”required“>*</span>Adı, Soyadı</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field88” name=”field88” value=”” />
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label><span class=”required“>*</span>Görevi</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field89” name=”field89” value=”” />
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label><span class=”required“>*</span>Telefonu</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field90” name=”field90” value=”” size=”11” />
</div>
</div>
<h3>Size ulaşabileceğimiz Adres ve Telefon Bilgileri</h3>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label><span class=”required“>*</span>Ev Adresi</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field91” name=”field91” value=”” />
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label><span class=”required“>*</span>Ev Telefonu</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field92” name=”field92” value=”” size=”11” />
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label>İş Adresi</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field93” name=”field93” value=”” />
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label>İş Telefonu</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field94” name=”field94” value=”” size=”11” />
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label><span class=”required“>*</span>E-posta</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field95” name=”field95” value=”” />
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label><span class=”required“>*</span>Cep Telefonu</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<input class=”form-control” type=”text” id=”field96” name=”field96” value=”” size=”11” />
</div>
</div>
<h3>Güvenlik</h3>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“>
<label for=”field26“><span class=”required“>*</span>Form güvenliği için cevaplayınız</label>
</div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<p id=”security-section-class“></p>
</div>
</div>
<div class=”row“>
<div class=”col-xs-12 col-sm-4 col-md-4 col-lg-4 text-right“></div>
<div class=”col-xs-12 col-sm-8 col-md-8 col-lg-8“>
<button class=”form-control themeBtn” type=”submit“>Formu Gönderin ></button>
</div>
</div>
</form>