How to create a page that contain a form where registered members could filled-up the form and post

How to create a page that contain a form where registered members could filled-up the form and post it to this page.

The form should look like this:

Job No: (running number)

Date Posted:

Job Details:

Link: (Apply button – will update database)

Example, the page will show:

Job List

Job No Date Posted Job Details

Job1 xx/xxx/xxxx Type A Apply!

Job2 xx/xxx/xxxx Type B Apply!

Job3 xx/xxx/xxxx Type C Apply!

I couldn’t find any plugin that could do this. Job Manage is very good unfortunately it’s a bit complicated.