<form>
<label for="name">Name:</label>
<input id="name" name="name" type="text" />
<label for="emp">Employed:</label>
<select id="emp" name="emp" disabled>
<option>No</option>
<option>Yes</option>
</select>
<label for="empDate">Employment Date:</label>
<input id="empDate" name="empDate" type="date" disabled />
<label for="resume">Resume:</label>
<input id="resume" name="resume" type="file" />
</form>