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. I am submitting an application to attend the CAP Restoration Center because of   <br/><input type="radio" id="1527" value="1527" name="2" checked=""> <label for="1527"> Moral Failure (Adultery, Fornication, Child Molestation, Homosexuality, Spousal Abuse, Arson, etc.)   </label><br />
    <input type="radio" id="1528" value="1528" name="2" checked=""> <label for="1528"> Ethical Failure (Greed, Excess, Tax Evasion, Pornography, etc.)  </label><br />
    <input type="radio" id="1529" value="1529" name="2" checked=""> <label for="1529"> Other Issue </label><br />
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