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Get Katie Herb Scholarship Application

Ur responses to any of the above questions or use additional paper. Required Signature I hereby authorize my cardiologist to release my medical information pertaining to my congenital heart defect and I certify that all information submitted in the application process—including the application, the personal essay, any supplements, and any other supporting materials—is my own work, factually true, and honestly presented. _______________________________________________ _____________________ .

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