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LC Referral/Nomination Form
LC Referral/Nomination Form
Student Name
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Student Email
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Student High School
Nominator Name
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Nominator Email
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Nominator Phone
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Relationship to Student (Admissions Counselor, High School Counselor, College Recruitment Contact, etc.)
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Which community/communities are you recommending this student for?
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Ag Futures
Beyond the Practice Room
Biological Sciences
Branch Out: Joint ROTC
Business Leaders
Business Opportunities
Chemistry: In Our Element
Computing for Good
Computing Your Future
Discover Companion Animal and Equine Careers
Discover the Classroom
Discover the Healthy Human
EcoLeaders: Environmental Sustainability in Action
Engineering to Change the World
Engineering Robotics
Experience the Lab: Forensic Science, Microbiology & Biochemistry
Exploring Health and Medicine
Exploring Nursing
First-Gen Learning Community
Media Smarts: Broadcasting, Journalism, Advertising & PR
Melvin W. Jones Scholars: Community Service, Leadership & Multicultural Perspectives
Pre-Law Opportunities
Pre-Vet
Pressbox: Sports Media and Communication
Prism: LGBTQA+ and Allied Students
Psyched Up! Analyzing Psychology
Responsible Design: Architecture, Interior Design & Landscape Architecture
Second-Year Edge
University Exploration
Why do you think this student would benefit from the LC(s) listed above?
Please include any additional information you believe would be helpful to the LC team in our outreach to this student.
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