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  • Application for

    The Genevieve Memorial Breast Cancer Recovery Grant

    Personal Information

    Grant Criteria

    For Mothers first diagnosed with breast cancer at age 40 years old or younger

    Associated with recovery from breast cancer treatment

    To be applied at mutually agreed upon dates and a location arranged by

    Genevieve's Helping Hands, Inc.

    Gnenevieve's Helping Hands will pay for Grant location and related expenses

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  • I affirm that all informaton is correct. I understand that Genevieve's Helping Hands, Inc. is not a health care provider, and therefore the information released is not protected by federal privacy protections.

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