Application Form

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Please print this form. After reading the Award Guidelines, complete and return the form by Friday 29 May 2015, together with the short piece on how the award money would be spent, and the reasons of the employer or teacher for putting you forward, to:

The William Heptinstall Award
c/o: Jenny Rodgers
23 Seymour Place
Odiham
Hants RG29 1AY

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