2026 Women’s Health Leadership TRUST Forum Awards Nomination Form: Mentor of the Year

Nomination Process

Award recipients are nominated by peers who can attest to the nominee’s attributes for the recommended award. Please return all completed nominations by January 16, 2026.

Nominator Information

Name

First Last

Title

Organization

Email

Phone

Relationship to the Nominee

Award Nominee Information

Name

First Last

Title

Organization

Email

Phone

Link to bio or LinkedIn Profile

Short description of the relationship of the nominating individual(s) and nominee(Required)

Short description of the nominee impact on the individual(s), team, group or environment(Required)

Nominee Attributes

Provide short descriptions of how the nominee demonstrates these attributes. Please complete at least three (3) of the following six (6) sections. Be as specific as possible with your examples.*

Strong Communicator Example

A Connector Example

Accessible / Approachable Example

Wisdom Example

Integrity / Genuine Example

Supporting work/life Integration Example

Anything else you think we should know about the nominee?