2021 ENR-ACE | OUTSTANDING MENTOR AWARD NOMINATION FORM
AFFILIATE INFORMATION
AFFILIATE INFORMATION
AFFILIATE NAME
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YEAR ESTABLISHED
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CURRENT NUMBER OF ACTIVE STUDENTS
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NOMINATOR INFORMATION
NOMINATOR INFORMATION
(Affiliate leader or other senior person)
NOMINATOR NAME
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POSITION
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TELEPHONE
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EMAIL
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NOMINATED MENTOR
NOMINATED MENTOR
MENTOR NAME
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(Give mentor’s name as it should appear on a formal certificate)
YEARS AS MENTOR
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PROFESSION
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(Be specific; e.g., mechanical engineer)
PHONE NUMBER
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EMAIL ADDRESS
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NOMINEE'S FIRM INFORMATION
NOMINEE'S FIRM INFORMATION
NAME OF NOMINEE'S FIRM
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FIRM ADDRESS 1
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FIRM ADDRESS 2
FIRM CITY
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FIRM STATE
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FIRM CONTACT
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(ACE will send this person a letter recognizing nominee’s contributions to ACE and thanking the company)
FIRM CONTACT TITLE
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JUSTIFICATION
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
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SUBMIT REQUIRED DOCUMENTATION
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
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*Max 10MB
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APPLICATION SUBMISSION
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