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Get Dimes From The Heart

RELIEF ascena FOUNDATION & JAFFE FAMILY SCHOLARSHIP PROGRAM ROSLYN JAFFE ASCENDING WOMEN IN LEADERSHIP AWARDS DIMES FROM THE HEART: APPLICATION FORM Associate's Name: _____________________________ ï‚£ Full-Time ï‚£ Part-Time ID Number: ___________ Store Number/Location: ________________________________ Brand/SSG: _____________ Phone Number: ____________ Hire Date: ____ / ____ / ____ PLEASE INDICATE THE FOLLOWING: ï‚£ Amount REQUESTING: $_____________ (up to $2,500) Grants of $1,000 - .

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