COVID-19 Remembrance Memorial

COVID-19 Remembrance | Remembering Those We've Lost Page Banner — COVID-19 Remembrance | Remembering Those We've Lost Banner

Join the UTRGV community in honoring students, colleagues, friends, and family members who have passed away from a COVID-19 related illness. Together we will honor their memory and impact to the university and in the community.

Please complete the form below to submit your loved one’s name, photo, and memory. Submissions will be displayed on the COVID-19 Remembrance Memorial Website. Optional questions are indicated in the form.

fields

First Name (Required)

By submitting this form, you represent and affirm that (1) you have received permission for your submission from the next of kin of the deceased individual, and (2) you have the right and authority to grant UTRGV permission to use the photograph and information provided for UTRGV COVID-19 Remembrance events/activities. The photo and information submitted of the deceased individual may be reproduced, distributed, adapted, or displayed or performed publicly in COVID-19 remembrance events/activities hosted by UTRGV, and will remain searchable on the World Wide Web. Only information submitted on the form and shared in the obituary will be shared publicly.

Middle Name

Last Name (Required)

By submitting this form, you represent and affirm that (1) you have received permission for your submission from the next of kin of the deceased individual, and (2) you have the right and authority to grant UTRGV permission to use the photograph and information provided for UTRGV COVID-19 Remembrance events/activities. The photo and information submitted of the deceased individual may be reproduced, distributed, adapted, or displayed or performed publicly in COVID-19 remembrance events/activities hosted by UTRGV, and will remain searchable on the World Wide Web. Only information submitted on the form and shared in the obituary will be shared publicly.

Mailing Address (Required)

By submitting this form, you represent and affirm that (1) you have received permission for your submission from the next of kin of the deceased individual, and (2) you have the right and authority to grant UTRGV permission to use the photograph and information provided for UTRGV COVID-19 Remembrance events/activities. The photo and information submitted of the deceased individual may be reproduced, distributed, adapted, or displayed or performed publicly in COVID-19 remembrance events/activities hosted by UTRGV, and will remain searchable on the World Wide Web. Only information submitted on the form and shared in the obituary will be shared publicly.

Phone Number (Required)

By submitting this form, you represent and affirm that (1) you have received permission for your submission from the next of kin of the deceased individual, and (2) you have the right and authority to grant UTRGV permission to use the photograph and information provided for UTRGV COVID-19 Remembrance events/activities. The photo and information submitted of the deceased individual may be reproduced, distributed, adapted, or displayed or performed publicly in COVID-19 remembrance events/activities hosted by UTRGV, and will remain searchable on the World Wide Web. Only information submitted on the form and shared in the obituary will be shared publicly.

Email (Required)

By submitting this form, you represent and affirm that (1) you have received permission for your submission from the next of kin of the deceased individual, and (2) you have the right and authority to grant UTRGV permission to use the photograph and information provided for UTRGV COVID-19 Remembrance events/activities. The photo and information submitted of the deceased individual may be reproduced, distributed, adapted, or displayed or performed publicly in COVID-19 remembrance events/activities hosted by UTRGV, and will remain searchable on the World Wide Web. Only information submitted on the form and shared in the obituary will be shared publicly.

Are you ... (Required)

By submitting this form, you represent and affirm that (1) you have received permission for your submission from the next of kin of the deceased individual, and (2) you have the right and authority to grant UTRGV permission to use the photograph and information provided for UTRGV COVID-19 Remembrance events/activities. The photo and information submitted of the deceased individual may be reproduced, distributed, adapted, or displayed or performed publicly in COVID-19 remembrance events/activities hosted by UTRGV, and will remain searchable on the World Wide Web. Only information submitted on the form and shared in the obituary will be shared publicly.

Relationship to the Deceased Individual (Required)

By submitting this form, you represent and affirm that (1) you have received permission for your submission from the next of kin of the deceased individual, and (2) you have the right and authority to grant UTRGV permission to use the photograph and information provided for UTRGV COVID-19 Remembrance events/activities. The photo and information submitted of the deceased individual may be reproduced, distributed, adapted, or displayed or performed publicly in COVID-19 remembrance events/activities hosted by UTRGV, and will remain searchable on the World Wide Web. Only information submitted on the form and shared in the obituary will be shared publicly.

Deceased Individual’s First Name (Required)

By submitting this form, you represent and affirm that (1) you have received permission for your submission from the next of kin of the deceased individual, and (2) you have the right and authority to grant UTRGV permission to use the photograph and information provided for UTRGV COVID-19 Remembrance events/activities. The photo and information submitted of the deceased individual may be reproduced, distributed, adapted, or displayed or performed publicly in COVID-19 remembrance events/activities hosted by UTRGV, and will remain searchable on the World Wide Web. Only information submitted on the form and shared in the obituary will be shared publicly.

Deceased Individual’s Last Name (Required)

By submitting this form, you represent and affirm that (1) you have received permission for your submission from the next of kin of the deceased individual, and (2) you have the right and authority to grant UTRGV permission to use the photograph and information provided for UTRGV COVID-19 Remembrance events/activities. The photo and information submitted of the deceased individual may be reproduced, distributed, adapted, or displayed or performed publicly in COVID-19 remembrance events/activities hosted by UTRGV, and will remain searchable on the World Wide Web. Only information submitted on the form and shared in the obituary will be shared publicly.

Deceased Individual’s Date of Birth

Deceased Individual’s Date of Death (Required)

By submitting this form, you represent and affirm that (1) you have received permission for your submission from the next of kin of the deceased individual, and (2) you have the right and authority to grant UTRGV permission to use the photograph and information provided for UTRGV COVID-19 Remembrance events/activities. The photo and information submitted of the deceased individual may be reproduced, distributed, adapted, or displayed or performed publicly in COVID-19 remembrance events/activities hosted by UTRGV, and will remain searchable on the World Wide Web. Only information submitted on the form and shared in the obituary will be shared publicly.

Link to the obituary

Individual was a ... (Required)

By submitting this form, you represent and affirm that (1) you have received permission for your submission from the next of kin of the deceased individual, and (2) you have the right and authority to grant UTRGV permission to use the photograph and information provided for UTRGV COVID-19 Remembrance events/activities. The photo and information submitted of the deceased individual may be reproduced, distributed, adapted, or displayed or performed publicly in COVID-19 remembrance events/activities hosted by UTRGV, and will remain searchable on the World Wide Web. Only information submitted on the form and shared in the obituary will be shared publicly.

UTRGV Department

Share a few words about this person (Required)

By submitting this form, you represent and affirm that (1) you have received permission for your submission from the next of kin of the deceased individual, and (2) you have the right and authority to grant UTRGV permission to use the photograph and information provided for UTRGV COVID-19 Remembrance events/activities. The photo and information submitted of the deceased individual may be reproduced, distributed, adapted, or displayed or performed publicly in COVID-19 remembrance events/activities hosted by UTRGV, and will remain searchable on the World Wide Web. Only information submitted on the form and shared in the obituary will be shared publicly.

Photograph REQUIRED (Required)

By submitting this form, you represent and affirm that (1) you have received permission for your submission from the next of kin of the deceased individual, and (2) you have the right and authority to grant UTRGV permission to use the photograph and information provided for UTRGV COVID-19 Remembrance events/activities. The photo and information submitted of the deceased individual may be reproduced, distributed, adapted, or displayed or performed publicly in COVID-19 remembrance events/activities hosted by UTRGV, and will remain searchable on the World Wide Web. Only information submitted on the form and shared in the obituary will be shared publicly.

(Photos submitted should be clear, and should include ONLY an image of the deceased. Please name the file with their name and crop out additional people or pets in the photo before submission. (dimensions 400px by 300px))

Disclaimer selection (Required)

By submitting this form, you represent and affirm that (1) you have received permission for your submission from the next of kin of the deceased individual, and (2) you have the right and authority to grant UTRGV permission to use the photograph and information provided for UTRGV COVID-19 Remembrance events/activities. The photo and information submitted of the deceased individual may be reproduced, distributed, adapted, or displayed or performed publicly in COVID-19 remembrance events/activities hosted by UTRGV, and will remain searchable on the World Wide Web. Only information submitted on the form and shared in the obituary will be shared publicly.

YES