Please submit this form prior to circulating the stone so that we may keep track of each receiver of the stone.

  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Please indicate which behavior(s) they exhibited that led you to choose to circulate the stone to them. For a list of core values behaviors, visit www.ucop.org
  • Accepted file types: jpg, jpeg, png, gif, pdf.
    Please include a high resolution photo of the stone recipient, or of the stone recipient with the stone giver.