Hi,
My name is Sergey and I'm a PHP-developer from Hamburg, Germany.
I had a look at the example you provided and it would be a problem to create the same application form and even better. I see some cons of this form and your one would be more powerful, dynamic, beautiful and useful.
Two questions: do you have a timeframe for this task? and do you want to use a CMS or it should be a pure PHP+HTML+DB?
Thanks!
looking forward to hearing from you soon!
Regards
Sergey