ISSA Hygieia Network 2025 Award Nomination Form

Full Name (Nominee)*

First NameLast Name
Company (Nominee)*
How long have you been in a mentoring relationship with the Nominee via Hygieia’s mentoring program?*

Less than 6 months6-12 monthsMore than 12 months
Describe one or more professional development milestones that resulted from your interactions with your mentor? Please provide a detailed response. *

0/0
What is the most valuable thing you learned from your mentor during your mentoring relationship? Please provide a detailed response.*

0/0
What key qualities does your mentor possess that would make them an ideal Mentor of the Year? Please provide a detailed response.*

0/0
Which of the following does the Nominee meet?*

Raise awareness, stimulate discussion or disseminate best practices that contribute to the advancement of women in the workplaceProvide mentorship opportunities to help advance women at all levelsPromote diversity, inclusion and equity in the workplaceSupport career advancement for women in the lower levels of the industryAdvocate for women in the workplace

Is the nominee actively involved with Hygieia Network?*

YesNo
What is your relationship to the nominee? *

Acquaintance/FriendColleagueEmployeeSupervisor/Boss/CEOPlace of EmploymentClientCustomer
Please enter your Contact Information*

First NameLast Name
Company*
Email*
example@example.com

Letter of Recommendation [Optional]

In an attached Letter of Recommendation, please provide additional details about why the nominee should be selected as International Member of the Year. Please upload your Letter of Recommendation.
Cancelof
Should be Empty:

ISSA Hygieia Network 2025 Award Nomination Form - Mentor of the Year