PHP, Perl, C++ developer (online app)

I am looking for a developer who can create a small online application. (For a non-profit org)
Requirements:
Simple registration form (email is username)
Login / Logout capabilities
Email password to clients that have forgotten their password
Resume at users last position
Stored in all info in MySQL Database (including login info, such as time/date/ip address, ect)
Client/Admin can print user’s completed application
Client/Admin user friendly interface (Admin must have rights and simple interface to purge/delete records)
Application will consist of 7 - 10 pages. Mainly for the purpose of paragraph responses.
Preferred Backin Language: PHP, Perl, C++
***** Developer must have a portfolio of previous work *****
Contact damuw@yahoo.com if you have the expertise or need more detail. Best offer (with a portfolio of capable expertise) gets the project.