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Hand in History: Application

I am nominating myself

I would like to represent the Epilepsy Society on the donor wall at UCL, celebrating the Circle of Benefactors. I am happy to have my hand cast in aluminium/brass and will be willing to take part in any publicity to celebrate the art installation.

I am nominating someone else

I am nominating the person below to represent the Epilepsy Society on the donor wall at UCL, celebrating the Circle of Benefactors. They are happy to have their hand cast in aluminium/brass and will be willing to take part in any publicity to celebrate th

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Date of birth

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Tell us why

Please tell us in no more than 500 words why you/they would like to be chosen to represent the Epilepsy Society on the donor wall at UCL, celebrating the Circle of Benefactors. Please tell us about your/their epilepsy, the impact it has had on your/their life and how the charity has helped you/them. We would also like to know what you/they hope we will achieve in the future through epilepsy research.

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