Application Job Script by Website

I have a company web site which i would like to create an online job application form for job seeker to fill up. The online job application form created MUST support the following features : i) users can submit the form and the form content can be routed to an email ID that i can define in the administration page ii) There need an administration page which i can retrieve submitted records which means you have to use a database to store the records (I use Cpanel that comes with MySql database). It has to have a search feature that i can search the keywords by submitter names, submitted dates, address and etc iii) The online job application form consists many form type such as pull down menu, button selection and text box. You need to build the error validation features in certain field such as for phone number field, only numbers are allowed and etc I prefer to deal with individual instead of company here. Since i have limited budget here so I would not mind you use the existing shareware, freeware or open source codes that offer the similar features i listed above to deliver this project in your convenient ways. There need to looks like the image like I attach here, I have the PSD so you can copy the css style, and it's just a TEST, the page need to be more wide like 680 px or 780 px, perfect to see on tablet and pc. I have all the information box that I need. I already attach to the PDF of all the format of the application, and that need to be on online. JUST ADD a option to upload a photo. And I will tell you what boxes need to be required. JUST TO RESUME: 1.- Web application form (The pdf file is attached) 2.- PSD File attach with the css style looks like. 3.- I need a administrator with username and pass to access to check all the applications by ID number (the id will be create at the time they submit the application) 4.- The online application job from will have drop menus (like select State "Texas", California" etc) 5.- Error validation if any information is missing. 6.- IMPORTANT: The admin page need to show all the applications like the PDF file I attach, so, when it shows up need to be the same applications, (I don't know how you can do this) but with all the boxes filled with the info of the applicant. I will add the blank box for the photo. Thank you!