create an online Employment Application for my website

I need to create an online Employment Application for my website that people can fill out and that will then submit the results to me, along with a resume, (a .doc, .txt file) if they provide it. I have a template that can be used for most of the copy and layout. You just need to customize it to fit the specifications of the positions I am filling and the layout of my website. The template is here: [login to view URL] My site is a straight forward .htm based site with a small amount of .PHP scripting. The template above is in CFM, that's fine, as long as it works on my Shared Windows Server. Thanks