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Submitter's Information
First name
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Last name
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Email
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Phone number
Loved One's Information
Loved One's Name
About your Loved One
Please feel free to share any memories, stories, or reflections about your loved one—how they impacted your life, their legacy, and what they meant to you. Your words will help us honor their memory and the lasting influence they had on those around them.
What purpose would this scholarship serve in honoring your loved one's memory? (Select all that apply)
Mental health or suicide prevention training
Creation or distribution of postvention support materials (e.g., postvention kits, memorial projects)
Community awareness or advocacy efforts
Storytelling events
Other (Please Describe)
If other, Please describe here:
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