Faculty Mentorship Excellence Award Nomination Please use this form to nominate a faculty mentor for a Mentorship Excellence Award. Student and Mentor InformationYour Name* First Last Your UConn Email* Your Anticipated Year of Graduation*20182019202020212022Mentor's Name* First Last Mentor's UConn Email* Mentor's Title*Assistant ProfessorAssociate ProfessorProfessorMentor's Department*How long, and in what context(s), have you been working with your mentor?*For example, "I completed independent studies in Fall 2016 and Spring 2017, then worked under her supervision on a SURF project in Summer 2017."Nomination DisclosureYour comments will be shared with your mentor and his/her department head. Student testimonials regarding excellence in mentorship can be useful for such purposes as tenure/promotion reviews, grant applications, and teaching portfolios. You may elect for your comments to be anonymous when they are shared beyond the review committee by responding affirmatively to the question below.I would prefer that my nomination be kept anonymous.*If you select "yes," the review committee will see your name, but it will not be shared outside the review committee. Please note that if your mentor is selected for this award, some of your comments may be used during the award ceremony, but your name will not be disclosed.YesNoNominationPlease describe how your mentor has influenced your experience with undergraduate research, scholarship, or creative activity.*Maximum 2500 characters.Please provide one or more specific examples to illustrate how this faculty member demonstrates excellent mentorship.*Maximum 2500 characters.