Minority Access' Twentieth
National Role Models Conference
One of the Nations Most Prestigious Diversity and Health Disparities Conferences
Charged initially with the National Role Models Project by the National Institute on Minority Health and Health Disparities and its predecessors to identify minorities who had excelled in biomedical research, Minority Access now conducts the National Role Models Project to include research in additional science and technology fields and accomplishments in other professional areas underrepresented by minority populations. These individuals and their supporters are publicized and honored as Role Models at the National Role Models Conference. Minority Access also honors research from other scientific fields and individuals excelling in other areas to serve as Role Models to underrepresented students.
September 26 - September 29, 2019
ROLE MODELS NOMINATION FORM
(Please submit one form per nominee)
Please indicate the type of role model you would like to nominate by checking the appropriate box.
(If your nominee is selected he/she must be present to receive the National Role Models Award)
TYPES OF ROLE MODELS
STUDENT
Community college, undergraduate or graduate student from an underrepresented category who has maintained an outstanding academic record and has successfully completed a major research project.
ADMINISTRATORS/ FACULTY/FACULTY MENTOR/ FACULTY RESEARCHER
Professor or administrator who has contributed to increasing the pool of underrepresented biomedical or other scientific researchers through teaching, mentoring and or supporting underrepresented students
(Or)
Professor or administrator who has played a significant role in the fight to eliminate health disparities by conducting major research and elevating he issue as a research priority at his or her institution
RECRUITER
Individual who has successfully identified, recruited, encouraged and assisted qualified underrepresented students to apply to college, graduate or professional school
ALUMNA/ALUMNUS
Graduate who has excelled in any field and can be held up as a role model for underrepresented students.
RESEARCHER (NON-FACULTY)
Researcher who has distinguished himself or herself in the field by making significant contributions to the field of biomedical or scientific research.
CATEGORIES
*
ADMINISTRATOR
ALUMNA
RECRUITER
ALUMNUS
STUDENT
FACULTY
FACULTY MENTOR
FACULTY RESEARCHER
RESEARCHER (NON-FACULTY)
Awards Will Be Presented at the Twentieth National Role Models Conference
(NOTE: Our General Policy Is That Previous Minority Access Role Model Award Recipients May Not Be Nominated)
Self nominations will not be considered
Nominee First Name
*
Nominee Last Name
*
Full Name of Nominee as it should appear on the award
*
Degree
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Title or Position
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Name of Institution
*
Address
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City
*
State
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Zip Code
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E-mail Address
*
Back
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Please submit a concise two paragraph summary describing the nominee"s accomplishments that justify his/her being a Role Model. A color photograph, curriculum vitae/résumé and short biographical sketch are needed for all individual nominees and should be submitted along with the nomination form . Additional information may be included.
Select File
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Title of Nominator
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Dr.
Mr.
Mrs.
Ms.
Professor
Nominator
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Degree (If any)
Title/Position
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Institution
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Address
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City
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State
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Zip Code
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Phone
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Fax
*
E-mail Address
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Please indicate if you will participate in the honoring ceremonies
*
Yes
No
DEADLINE FOR NOMINATIONS - SEPTEMBER 1, 2019
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