Mentor Award Form To submit: Complete this questionnaire

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Mentor Award Form
To submit:
 Complete this questionnaire
 Include up to five letters of recommendation (minimum of three)
 Include a headshot of the nominee
 E-mail your nomination packet to wmorris@mhi.org or mail hard copies to MHI by
5pm on February 19, 2016.
Nominee information
Name of Nominee:
Nominee’s Current Position & Organization:
Years professionally employed in material handling industry:
Brief résumé including notable responsibilities:
Professional accomplishments/affiliations:
In what ways has the nominee been an outstanding mentor?
How has the nominee contributed to the industry?
Other information that you feel is relevant in the selection of this individual as a mentor:
Attach a minimum of 3 letters of recommendation (500 word maximum, 7 letters maximum)
from individuals who have been associated professionally with the nominee.
Submitted by
Nominating MHI YPN Member Name:
Company/Organization:
Affiliation with Nominee (Former/current; manager, co-worker, …):
Phone:
E-mail:
Date:
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