2018 Outstanding Mentor Award Nomination Form
This form should be completed by the supervisor who is nominating a mentor for the College Reading and Learning Association's 2018 Outstanding Mentor Award. You may only nominate one mentor from your program. More information about the award can be found here: http://crla.net/index.php/certifications/imtpc-international-mentor-training-program (Select the tab that says Outstanding Mentor Award).

Please review criteria carefully before making your submissions. In addition to answering the prompts below, you will also need to attach the following information, to complete your nomination:

1. A copy of your nominee's certificate of completion for the highest level they have completed.
2. A copy of your nominee's most-recent mentoring evaluation, dated within 1 year of nomination.
3. A copy of your nominee's most-recent transcript (unofficial is fine).
4. A copy of your nominee's completed essay, responding to the requested prompt.
5. A faculty member's supportive recommendation of your nominee (must be from outside your mentoring program).

To help you prepare for completing this form, a complete list of questions is available: http://tiny.cc/OMA-Questions

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