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Oregon Academy - Young Dietitian of the Year Award Application

Please complete the application completely.

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* Please enter your information:

Name: *

Address: *

Address 2:

City/Town: *

State: *

ZIP/Postal Code: *

Country: *

Email Address: *

Phone Number: *

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* Are you a current an Oregon Academy member?

Yes

No

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* Your Academy #:

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* Please upload the candidate's CV/resume.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

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* RYDY candidates must be 35 years or younger as on 5/1/2025. Please add your date of birth here.

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* Please enter your education information.

Highest degree completed

Date of highest degree

Institution

City/State

Current education in progress

City/State