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MENTORING AWARDS

2009-2010 DEADLINE: Friday, October 30, 2009

If you experience difficulty submitting your nomination, please contact Rebecca Poe at 617-432-3020 or rebecca_poe@hms.harvard.edu

ON-LINE NOMINATION FORM

Please read your nomination carefully before pressing the SUBMIT button. You will be able to preview your nomination before submitting.

NOMINEE
First Name
Last Name
Degree(s)
Title
Institution
Address
Phone
E-mail
Nominated For (Please Select One) A. Clifford Barger Excellence in Mentoring Award
No minimum years of service at HMS/HSDM required
William Silen Lifetime Achievement in Mentoring Award
Recommended minimum 20 years of service at HMS/HSDM required—needn't be continuous service
Young Mentor Award
A maximum of 10 or less of years of service
Not sure which award is most appropriate

Reason for Nomination (about 10,000 characters or a maximum of 3 pages) Nominations must include a narrative of how this individual's mentoring has affected your career and/or the careers of others. Nominations without such will not be considered. It is often helpful to provide specific anecdotes/examples about the mentor or ways in which the mentor has shown an investment in one's professional and/or personal development.

Please do not submit nomination with hard returns. All text should be submitted as one paragraph. Using paragraphs may cause your nomination to be submitted in a truncated fashion.

It is recommended that you save your nomination narrative to a Word document so that you have it in its entirety should there be a problem with your nomination.

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NOMINATOR
First Name
Last Name
Degree(s)
Title
Institution
Address
Phone
E-mail
 
Nomination Form On-Line Form RFN Letter DCP Site