Nomination Form for GSC Mentoring Award

Your Name:

Year in school/position:

Email:

Campus Mail Code:

Campus Phone Extension:

Who would you like to nominate for the GSC Mentoring Award?

Full Name:

Position:

Email:

Campus Mail Code:

Campus Phone Extension:

What is your relationship to the nominee and how long have you known her or him?

Please rate your mentor on a scale of 1-5 for the following questions, 5 being outstanding, 1 being poor, by selecting from the numbers below or selecting N/A if the question is not applicable. Elaborate in 1-3 sentences each, if desired.

Support with respect to your long-term goals and career aspirations: 1 2 3 4 5 N/A

Expressing a sincere interest in your quality of life as a graduate student: 1 2 3 4 5 N/A

Fostering a good research environment: 1 2 3 4 5 N/A

Work to enhance Caltech as an Institute -- to develop graduate programs and further innovative research and/or instruction:

1 2 3 4 5 N/A

Recognition of your strengths and encouragement of those strengths: 1 2 3 4 5 N/A

Encouragement of off-campus trips related to your research (such as going to conferences) and help to financially support these trips? 1 2 3 4 5 N/A

Please provide short answers (1-2 paragraphs each) to the following three questions by writing in the space provided.

1. What aspect of your relationship with your mentor has been of the most value to you?

2. What makes your mentor truly outstanding in terms of their support of your research, professional guidance, fostering of a positive and productive lab/group atmosphere, and/or encouragement of independent thinking?

3. Please describe one or more brief stories that you feel highlight your reasons for nomination of this particular mentor.