SACNAS Distinguished Mentor Nomination Form

Apply below to be considered for both the Distinguished Mentor Award and an Oustanding Mentor Award. The Distinguished Mentor will be selected from among the top candidates submitted in all outstanding mentor categories (see below and select all that apply).


Nomination Criteria:

Nominee has a sustained record of at least ten years of participating in educational and/or community outreach activities.










If you are a student, please indicate year and level (e.g. 3rd year undergraduate, Graduate Student, etc)














Please choose all categories in which this nominee is eligible. Please note that all nominees are considered for the overall Distinguished Mentor award.













Please provide the following supporting documents:

1. CV of nominated individual (4 pages max.)

2. Three (3) letters of recommendation:
• Letters are written by individuals other than yourself.
• If you are a student, please have at least one letter from a professional colleague or supervisor of the nominee.
• If you are a professional colleague, please have at least one letter from a student mentee of the nominee.



Note, you can use this field to upload multiple files. PDF or Word files preferred.






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