2020 HEP/CAMP Student Champion Nomination

Submission Deadline:
Friday, October 9, 2020

Questions?

Ivan Olay

E: iolay@unm.edu | O: 505.277.6084

2. WHO IS NOMINATING THE STUDENT?
Name *

First Name Last Name
Title/Position *
Phone *

Area Code Phone Number
Email *
example@example.com
Name of HEP/CAMP Program *
(Where the student was enrolled in the 2019-2020 fiscal year)
Was the student enrolled at the HEP/CAMP program during the 2019 - 2020 fiscal year? *

Yes No
Should be Empty:

STUDENT CHAMPION NOMINATION