HEP/CAMP Student Champion Nomination

STUDENT CHAMPION NOMINATION

2024 National HEP/CAMP Conference

Submission Deadline:
August 19, 2024

Questions?

Greg Contreras

E: greg.contreras@pcc.edu O: 541.212.4896

1. WHO IS THE STUDENT BEING NOMINATED?
Student Name*

First NameLast Name
Category*

HEPCAMP
Student Biography: Provide a brief biography of the HEP or CAMP student your program is nominating*

Max. 150 words0/150
Staff Recommendation: Describe how the student has championed excellence in their education and HEP or CAMP program regardless of significant adversity they have experienced*

Max. 400 words0/400
Upload student photo

Browse Files

Cancelof

2. WHO IS NOMINATING THE STUDENT?
Name*

First NameLast Name
Title/Position*
Phone*

Area CodePhone Number
Email*
example@example.com
Name of HEP/CAMP Program*
(Where the student was enrolled in the 2023-2024 fiscal year)
Was the student enrolled at the HEP/CAMP program during the 2023 - 2024 fiscal year?*

YesNo
Should be Empty: