HRL No Impact Jack 2013-14

Required Prerequisites: About You

Welcome and thanks for participating!

Please allow enough time to complete the form as we currently do not have a way for you to save your answers.

Please check at the top and bottom of each page for directions. Please read directions carefully to ensure you fill out the form properly and can be awarded your certificate.

We need you to provide the following information in order to qualify for your No Impact Jack certificate.
1. Your Name (First and Last)
2. Your Hall and Room Number
(Currently, we can only accept submissions for students living in Housing and Residence Life halls. We apologize for any inconvenience.)
3. Your Class Standing
4. Someone encouraged me to get my No Impact Jack Certificate.
Please continue to the next page.
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