Memorable Mentor Nomination Form

Every fall at UW Homecoming, the UW Alumni Association Nursing Chapter aims to present the Memorable Mentor Award to a worthy UW Nursing alumni for their mentorship to other nurses.

Mentor Awards Presented

2017
1st "Memorable Mentor Award"
presented to Dixie Slider
UW Nursing Class of '67

2018
2nd "Memorable Mentor Award"
presented to Holly Miller
UW Nursing Class of '81 (RN-BSN Completion) and Class of '96 (MSN)

2019
3rd "Memorable Mentor Award"
presented to Jeanine Niemoller
UW Nursing Class of '81 (BSN) and Class of '96 (MSN)

2020
4th "Memorable Mentor Award"
presented to Joshua J. Cruz-Rodenbeck
UW Nursing Class of 2018 (RN-BSN Completion Program)

2021
5th "Memorable Mentor Award"
will be presented on October 21, 2022

 

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6th Mentor Award, 2022:

.Who will be this year's recipient??! You can help make that choice: Nominate your mentor by filling out and submitting the online form linked below. Thank You! SUBMISSION DEADLINE annually:  October 1st annually. 

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Please answer all questions/fill in all lines below.

Name of UW Nursing Alumni Nominated: *
Year your nominee graduated from UW Nursing: *
Why should your nominee be Memorable Mentor of the Year? [please write as much as you can to support your candidate!]: *
Nominator (Your Name): *
Nominator's contact email address: *
Your nominee's contact information (please include email, phone and postal mailing address): *
Date Submitted: *