Jacob Green Memorial Prize Nomination Form

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Jacob Green Memorial Prize Nomination Form

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* Indicates required question

Your Name and Affiliation - Person nominating *

Your answer

Role at the U of R

Student

Faculty

Staff

Administrator

Clear selection

Who do you want to nominate for the prize? (List Name, Year and Major - if they have declared) *

Your answer

Is this person a first generation college student? *

Yes

No

Does this person work? *

On Campus

Off Campus

Both

No

Next

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