<link href="//netdna.bootstrapcdn.com/bootstrap/3.2.0/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css">
<script src="//netdna.bootstrapcdn.com/bootstrap/3.2.0/js/bootstrap.min.js"></script>
<script src="//code.jquery.com/jquery-1.11.1.min.js"></script>
<div class="container">
<form class="form-horizontal">
<fieldset>
<legend>Resource Request Form</legend>
<div class="control-group">
<label class="control-label" for="firstName">First Name</label>
<div class="controls">
<input id="firstName" name="firstName" type="text" placeholder="" class="input-xlarge" required="">
</div>
</div>
<div class="control-group">
<label class="control-label" for="lastName">Last Name</label>
<div class="controls">
<input id="lastName" name="lastName" type="text" placeholder="" class="input-xlarge" required="">
</div>
</div>
<div class="control-group">
<label class="control-label" for="firstNameLabHead">First Name Head of Lab</label>
<div class="controls">
<input id="firstNameLabHead" name="firstNameLabHead" type="text" placeholder="" class="input-xlarge" required="">
</div>
