Nomination for Faculty Graduate Mentoring Award (FGMA)

FGMA Nomination Form

PRIVACY NOTE: Personal information in the form is collected, used and disclosed by Carleton University under the authority of the Carleton University Act, 1952, and in accordance with sections 39, 41 and 42 of Ontario’s Freedom of Information and Protection of Privacy Act. The purpose of this processing is to select winners of the Faculty Graduate Mentoring Award, hosted by Carleton University. Information collected through this form will be used for internal purposes and may be shared with limited University employees. If you have any questions about the processing of personal information by Carleton University, please contact the Manager, Privacy & Access to Information at University_Privacy_Office@carleton.ca.

What is your name?(Required)

First Last

What is your Email Address?(Required)

Enter Email Confirm Email

Are you a:(Required)

Student

T.A. or R.A.

Staff Member

Faculty Member / Librarian

Contract Instructor

Other

Who is the amazing mentor in your life?(Required)

First Last

In which department/school/institute does your mentor teach?(Required)

What is your mentor's email address?(Required)

Enter Email Confirm Email

To complete your nomination, please write and upload your nomination here (and don't forget to write your name on the document)(Required)

Accepted file types: pdf, Max. file size: 15 MB.

Your nomination cannot exceed 500 words. Please double check this before you upload the document. Nominations will only be accepted in “PDF” format.

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