JCRC Student to Student Nomination Form, 2022-2023

JCRC Student to Student Nomination Form, 2022-2023

Please nominate high school students who will be juniors or seniors in the 2022-2023 school year to participate in the JCRC Student to Student program, providing as much contact information as you have. Thank you!
Learn more about the program here: https://www.jcrcboston.org/student-to-student-program/

Your First Name

Your Last Name

Your Email

Nomination (are you nominating this student for a group leader or participant?).

Group LeaderParticipant

Nominee's First Name

Nominee's Last Name

Nominee's email address

Nominee's cell phone number

Contact Information