insert drop down list (date) into database

[azie.]

hi, i have drop down list called check in date.

Check-in Date :
	<select name="inmonth" id="inmonth">
	<option value="-1">Month</option>
	<option value="0">January</option>
	<option value="1">February</option>
	<option value="2">March</option>
	<option value="3">April</option>
	<option value="4">May</option>
	<option value="5">June</option>
	<option value="6">July</option>
	<option value="7">August</option>
	<option value="8">September</option>
	<option value="9">October</option>
	<option value="10">November</option>
	<option value="11">December</option>
	</select>
			&nbsp;
			<select name="indate" id="indate">
			<option value="-1">Date</option>
			<option value="0">1</option>
			<option value="1">2</option>
			<option value="2">3</option>
			<option value="3">4</option>
			<option value="4">5</option>
			<option value="5">6</option>
			<option value="6">7</option>
			<option value="7">8</option>
			<option value="8">9</option>
			<option value="9">10</option>
			<option value="10">11</option>
			<option value="11">12</option>
			<option value="12">13</option>
			<option value="13">14</option>
			<option value="14">15</option>
			<option value="15">16</option>
			<option value="16">17</option>
			<option value="17">18</option>
			<option value="18">19</option>
			<option value="19">20</option>
			<option value="20">21</option>
			<option value="21">22</option>
			<option value="22">23</option>
			<option value="23">24</option>
			<option value="24">25</option>
			<option value="25">26</option>
			<option value="26">27</option>
			<option value="27">28</option>
			<option value="28">29</option>
			<option value="29">30</option>
			<option value="30">31</option>
			</select>
	&nbsp;
	<select name="inyear" id="inyear">
	<option value="0">Year</option>
	<option value="2012">2012</option>
	<option value="2013">2013</option>
	<option value="2014">2014</option>
	<option value="2015">2015</option>
	<option value="2011">2016</option>
	</select>

i want to how to insert the check-in date as a short date (example : 1/4/2012) into the access database? i kinda know the syntax, but not quite. please help!