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)

Middle Name

Last Name (Required)

Mailing Address (Required)

Phone Number (Required)

Email (Required)

Are you ... (Required)

Relationship to the Deceased Individual (Required)

Deceased Individual’s First Name (Required)

Deceased Individual’s Last Name (Required)

Deceased Individual’s Date of Birth

Deceased Individual’s Date of Death (Required)

Link to the obituary

Individual was a ... (Required)

UTRGV Department

Share a few words about this person (Required)

Photograph REQUIRED (Required) (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)

YES