Interactive Web App Development

I'm seeking an experienced developer to convert our paper worksheet into an interactive web app. We already have all the art and placement decided.

Key Project Features:
- The app should effectively duplicate our worksheet
- It needs to harvest emails and save them to a list automatically

Desired Skills:
- Proficiency in either Python, JavaScript, or Ruby; as we didn't state a preference
- Experience creating interactive web applications
- Comfortable converting traditional media to digital platforms

Expected Deadline:
- The project needs to be completed within a month.

This project could appeal to any developer with a knack for integrating beautiful UI with functional code. We're excited to bring our worksheet into the digital age and can't wait to see your vision for it. Please be sure to include examples of past projects that demonstrate your ability to meet our requirements.