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app.html
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<!DOCTYPE html>
<html {{ HTML_ATTRS }}>
<head {{ HEAD_ATTRS }}>
{{ HEAD }}
</head>
<body {{ BODY_ATTRS }}>
<form action="/apply/success" name="application" netlify netlify-honeypot="bot-field" hidden>
<input type="hidden" name="form-name" value="application" />
<input type="hidden" name="bot-field" />
<input type="text" name="first_name" />
<input type="text" name="last_name" />
<input type="text" name="email" />
<input type="text" name="phone_number" />
<input type="radio" name="vet-benefits" value="yes" />
<input type="radio" name="vet-benefits" value="no" />
<input type="checkbox" name="benefits-type-vet-tec" value="vet-tec" />
<input type="checkbox" name="benefits-type-gi-bill" value="gi-bill" />
<input type="checkbox" name="benefits-type-voc-rehab" value="voc-rehab" />
<input type="checkbox" name="benefits-type-vrrap" value="vrrap" />
<textarea name="about"></textarea>
</form>
{{ APP }}
</body>
</html>