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* 1. Please provide your contact information.

* 2. How many years have you participated in NEDSRA programs?

* 3. †What is your/the applicant's favorite NEDSRA program and why?ˆ

* 4. Please describe how you/the applicant demonstrates Jeena’s Spirit, Enthusiasm, Happiness, Courage, and/or Positive Impact on others. Feel free to use pictures, videos or other supporting mediums.

* 5. A gift of $400 will be given to the recipient of The Jeena Greenwalt Spirit and Scholarship Award. The money can be used for NEDSRA programs or equipment to assist you/the applicant with participating in NEDSRA programs. As the recipient, how will you/the applicant use this money? Feel free to use pictures, videos or other supporting mediums.

For more information or to submit photos/video, please email Jerry Barton at jbarton@nedsra.org.

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