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Smart Start Early Care and Education20192020 Dedication to Education Bonus
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Please print clearly.
First Name: ___ Last Name:___
Home address: ___
streetcitystzipHome/cell phone: (___)___
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Form dedication is used to formally declare or affirm a commitment or loyalty to a particular cause, organization, or belief.
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Individuals or organizations who wish to publicly declare their dedication to a specific cause or belief may file form dedication.
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Form dedication can be filled out by providing personal information, the cause or organization being dedicated to, and a signature to affirm commitment.
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The purpose of form dedication is to publicly declare or affirm one's commitment or loyalty to a specific cause, organization, or belief.
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The information reported on form dedication may include personal details, the specific cause or organization being dedicated to, and a signature to confirm commitment.
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