Raw Score for this Application:  out of  - % <br /><br/>Q1. Please enter the following: First Name, Last Name  <br/><b>First Name:</b><input type="text" name="fname" value="" size="40" /><br/> <br />
                <b>Last Name:</b> <input type="text" name="lname" value="" size="40" /> <br/><br />Q2. Please enter the following: Email  <br/> Email:<input type="text" name="email" value="" size="40" /><br/>  <br />Q3.  How much money do you have for your launch budget? (CAP requires you have a minimum of $70,000 for possible CAP funding.)  <br/><input type="checkbox" value="0" name="1127" checked=""> <label for "1127"> $0, none </label><br />
        <input type="checkbox" value="1" name="1128" checked=""> <label for "1128"> $1000-$5000 </label><br />
        <input type="checkbox" value="2" name="1129" checked=""> <label for "1129"> $5001-$15,000 </label><br />
        <input type="checkbox" value="3" name="1130" checked=""> <label for "1130"> $15,001-$30,000 </label><br />
        <input type="checkbox" value="4" name="1131" checked=""> <label for "1131"> $30,001-$50,000 </label><br />
        <input type="checkbox" value="5" name="1132" checked=""> <label for "1132"> $50,001-$70,000 </label><br />
        <input type="checkbox" value="6" name="1133" checked=""> <label for "1133"> More than $70,000 </label><br />
        <br />Q4. How many people (adults over 18 yrs of age) committed to be a part of your launch team?  <br/><input type="checkbox" value="0" name="1134" checked=""> <label for "1134"> None  to 2 </label><br />
        <input type="checkbox" value="1" name="1135" checked=""> <label for "1135"> 3 to 10 </label><br />
        <input type="checkbox" value="2" name="1136" checked=""> <label for "1136"> 11-20 </label><br />
        <input type="checkbox" value="3" name="1137" checked=""> <label for "1137"> 21-30 </label><br />
        <input type="checkbox" value="4" name="1138" checked=""> <label for "1138"> 31-40 </label><br />
        <input type="checkbox" value="5" name="1139" checked=""> <label for "1139"> 41-50 </label><br />
        <input type="checkbox" value="6" name="1140" checked=""> <label for "1140"> More than 50 </label><br />
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