combining information from several form fields into one attribute

Hello,

I would like to use three text boxes, one for each section of a social security number. I've been looking into the date time select which essentially does the same thing, except with combo boxes. The resulting html looks like:

<select name="employment_record[termination_date(1i)]"> ..

<select name="employment_record[termination_date(2i)]">

.. <select name="employment_record[termination_date(3i)]">

Is there helper that accomplishes what I want to do with text inputs? What is the significance of the 'i'? Do I need to roll my own?

Thanks, Dan