Application Form

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Please print this form. After reading the Award Guidelines, complete and return the form by Monday 30 April 2012, 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
2 Oaken Copse, Church Crookham
Fleet GU52 8DL


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