<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>