Women & Leadership Forum

Women & Leadership Mentor Nomination

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I would like to nominate: 

Name:  
Title:  
Department:  
 E-mail Address:  


Choose the appropriate Mentor Award Category:

Student Civil Service Administrative Professional
Teaching Faculty Research Faculty    

 

My Information:

My Name:
My Email:
My Phone Number:

 

  I understand my comments may be published in an award book
  My name may be used as a nominator

Please tell us how this person has mentored or impacted you.

If you would like to submit a paper nomination, please fill out the top two sections and print this page.  Then attach your description of how this person has mentored or impacted you and send your completed nomination to Mentor Committee Chair, zip 3611, by March 27, 2009.

WLA, PO Box 643611Pullman WA 99164-3611, 509-335-5573, Contact Us