Graduate Student Mentorship Excellence Award Nomination Please use this form to nominate a graduate student 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* Graduate Degree Mentor is Pursuing*Master's Degree (e.g., M.A., M.F.A., M.S.)Doctoral Degree (e.g., Ed.D., M.D., Ph.D.)Mentor's Department*Mentor's Advisor or Principal Investigator (PI)Please indicate the name of the faculty member who advises/supervises this graduate student.How long, and in what context(s), have you been working with your mentor?*For example, "She was my day-to-day supervisor for independent studies in Fall 2016 and Spring 2017, then worked closely with me on a UConn IDEA Grant project in Summer 2017."Nomination DisclosureYour comments will be shared with your mentor and his/her advisor or supervisor. Student testimonials regarding excellence in mentorship can be useful for such purposes as job applications, fellowship 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 graduate student demonstrates excellent mentorship.*Maximum 2500 characters.