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Courage & Hope!
Application for the Heather Moore Award
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Your First Name:
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Your Last Name:
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Phone:
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Address:
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How did you hear about the Heather Moore Award?
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Nominee First Name:
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Nominee Last Name:
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Please submit to us a short essay about who you are nominating for the Heather Moore Award. Describe their adversities, how they have been trying to overcome them, and what this award may mean to them:
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