2021 ENR-ACE | OUTSTANDING MENTOR AWARD NOMINATION FORM

AFFILIATE INFORMATION

AFFILIATE NAME*

YEAR ESTABLISHED*

CURRENT NUMBER OF ACTIVE STUDENTS*

NOMINATOR INFORMATION

(Affiliate leader or other senior person)

NOMINATOR NAME*

POSITION*

TELEPHONE*

EMAIL*

NOMINATED MENTOR

MENTOR NAME*

(Give mentor’s name as it should appear on a formal certificate)

YEARS AS MENTOR*

PROFESSION*

(Be specific; e.g., mechanical engineer)

PHONE NUMBER*

EMAIL ADDRESS*

NOMINEE'S FIRM INFORMATION

NAME OF NOMINEE'S FIRM*

FIRM ADDRESS 1*

FIRM ADDRESS 2

FIRM CITY*

FIRM STATE*

FIRM CONTACT*

(ACE will send this person a letter recognizing nominee’s contributions to ACE and thanking the company)

FIRM CONTACT TITLE*

JUSTIFICATION

In an essay (1000 words maximum), explain why you are nominating this mentor for the 2021 Outstanding Mentor Award. Among other points, your essay should: 1) Describe the nominee’s actions and activities that make him/her an outstanding mentor. 2) Explain how the nominee’s mentoring has impacted students. 3) Discuss how the nominee’s activities have affected or benefited other mentors and the affiliate. Give specific examples and details to substantiate your nomination.

JUSTIFICATION*

SUBMIT REQUIRED DOCUMENTATION

Please submit ALL attachments as a SINGLE PDF document. Attachments are optional and limited to: 1) a maximum of two examples reflecting a mentor’s contributions (maximum of 20 pages); and 2) one letter from a nominee’s current or former student.

ATTACHMENTS*

*Max 10MB

Drag and drop files here or

APPLICATION SUBMISSION*

Only check this box if you are ready for final submission. Once you check this box and click SUBMIT, you will be unable to make any revisions to your application.

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