2022 Distinguished Mentor Award Nomination Form

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Please complete the form below as the Primary Nominator. You will be required to identify a secondary nominator. Contact this person in advance to assure they are willing to write a letter of recommendation to support your nomination.

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Primary Nominator Name *

Primary Nominator Email *

Curriculum Vitae (CV)

Please send your CV to staff@nanets.net upon completing this form.

Secondary Nominator Name *

You MUST contact the secondary nominator prior to submitting the form to ensure they are willing to co-nominate the nominee with you.

Secondary Nominator Email *

Nominee Name *

Nominee Email *

Nature of your relationship to the Nominee *

Current Mentee

Prior Mentee

Colleague

Outro:

Obrigatória

Letter of Recommendation

The Distinguished Mentoring Award nominations will be evaluated based on the positive educational and/or research experiences of the mentors' trainees, including the impact of mentorship on their subsequent professional and personal success. We encourage you to include specific references to the following criteria that the Nominee should exhibit in your Letter of Recommendation.

1. Offering sound guidance and valuable feedback to their mentees in order to advance and develop the mentee’s path to academic and professional success.
2. Generously share their valuable time to be accessible to their mentees. Impart guidance and expertise in encouraging and critiquing the mentee’s leadership, training, and/or scholarly works.
3. Encourage and include mentees in networking activities with other professionals; making valuable member-to-member and peer connections.
4. Evidence of sustained involvement in professional mentoring relationships that result in career growth or personal development of his/her mentees.
5. Serve as a role model for their colleagues by maintaining high standards for excellence within their own discipline and the greater institution.

Submit your Letter of Recommendation using the space below, please summarize the outstanding work and sustained contributions that demonstrate the nominee's commitment to mentoring, NET medicine and diversity. *

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