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Scholarship Nomination
Please complete the following form to nominate either your own family or another family for the Dyslexia Road scholarship. In the space provided, briefly describe why the nominated family would benefit from this scholarship. A member of the Dyslexia Road team will reach out to the family to discuss the scholarship and application process in more detail.
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Name of Nominated Family *
Contact information: 
Email
Phone Number
 *
Briefly explain why you are nominating this family. *
Any additional information you would like the Dyslexia Road board to consider? *
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