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DOROTHY KAYWOOD SHAFER NURSING SCHOLARSHIP AWARD The Dorothy Kaywood Shafer Award was established in 2001 to honor the memory of Dorothy Shafer registered nurse of 49 years. Signature of Applicant Date PLEASE DO NOT USE STAPLES SAVE A COPY OF YOUR APPLICATION FOR YOUR OWN RECORDS PLEASE COMPLETE THE ATTACHED W9 AND RETURN WITH THE APPLICAITON. Must be available for a personal interview with Dorothy Kaywood Shafer Sponsor. I attest that all of the information contained in this application is...
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