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Nomination to Mentoring Program
(Nomination form to be completed by department head)


NOMINEE:__________________________________

RANK:
_____________________________________

HIGHEST EARNED DEGREE:_____________________


Type of Appointment: 9 month 12 month

Please attach description of nominee’s potential in terms of his/her research program(s).

Document briefly the nature of the release time that will be provided for the coming year should the candidate be selected as a participant in the IBR Mentoring Program.

___________________________________________

___________________________________________

___________________________________________
(This may include reduced instructional load, and/or lower departmental administration.)

 

______________________________
Department Head

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