Nomination Form - Mentee — Lead(h)er

Girl on Fire Awards- Mentee of the Year
Award Nominations

Mentee's Name (Exactly as it should appear on the award)

First Name

Last Name

Mentee Email

Mentee Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Mentee Phone

(###)

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How long have you been matched with your Mentee?

What qualities/characteristics impress you most about your Mentee?

Describe something specific your Mentee has achieved as a result of the mentoring relationship.

Describe how your Mentee has gone above and beyond basic expectations.

Describe how your Mentee has been an asset to the Strike a Match program.

Discuss how your Mentee has demonstrated involvement in the Quad Cities community as a result of the mentoring relationship.

What is your most memorable experience with your Mentee?

Your Name

First Name

Last Name

Your Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Your Email

Your Phone

(###)

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