Outstanding Mentor Award Nomination Form

Outstanding Mentor Award Nomination
Students are invited to nominate an outstanding faculty member or graduate student for a Kentucky Psychological Foundation Outstanding Mentor Award.

The following awards will be given:

Outstanding Mentor Award | Undergraduate Faculty
Outstanding Mentor Award | Graduate Faculty
Outstanding Mentor Award | Graduate Student

Faculty members are also eligible to nominate for the Outstanding Graduate Student Award. Click here to learn more about award criteria and eligibility.

The deadline for nominations is Friday, March 14th, 2025.
Nominator Details
Name*

First NameLast Name
Email*
example@example.com
College/University Affiliation:*
Undergraduate StudentGraduate StudentAlumniFaculty (Please note that you are only permitted to submit a nomination for the Graduate Student Mentor Award)
Nominee Details:
Outstanding Mentor - Undergraduate FacultyOutstanding Mentor - Graduate FacultyOutstanding Mentor - Graduate Student
Name*

First NameLast NameHighest Degree Earned
Nominee Email:*
example@example.com
Academic Program Affiliation: *
How long have you worked with this nominee?
Briefly describe this nominees outstanding characteristics and how the nominee meets any or all of the above award criteria:*
Is there any additional information you would like us to know about this nominee?
Should be Empty:

Outstanding Mentor Award Nomination