Please print or type.
Roelker nominee: ________________________________________________________________
Nomination organizer: ___________________________________________________________
Contact information:
For Roelker nominee:
Address:________________________________________________________________________________
________________________________________________________________________________________
Phone:_________________________________Email:___________________________________________
For nomination organizer:
Address:________________________________________________________________________________
________________________________________________________________________________________
Phone:___________________________________________Email:_____________________________________________________
The following individuals will submit letters supporting this nomination by March 31, 2006. (List continued on a separate sheet as necessary.) Each name is listed on separate line, with affiliation (or city/state if no affiliation, e.g. from parent) noted.
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
The organizer should follow up with writers to ensure deadline is met. Due to the number of nominations received, the AHA will not be able to write or call nominators listed above.
Generally, one individual serves as the nomination organizer for the nomination and completes this form, writes one of the letters nominating the individual, procures nominee's vita (condenses to 5-page limit as necessary), and contacts individuals to write additional letters of support.
The nomination can be submitted in one of two ways:
(1) all letters of support are sent to organizer, who compiles the three components in one package and mails to the AHA, or
(2) organizer mails cover sheet, vita, and his/her letter of support to AHA, directs writers of additional letters of support to mail directly to the Association, and follows up with writers prior to the deadline to ensure letters were completed and mailed.
To ensure completeness of nomination and timeliness of submission of all components, the Award Committee prefers the first method of submission.
INDICATE METHOD OF SUBMISSION BELOW.
This nomination should include:
Return to:
Roelker Mentorship Award
American Historical Association
400 A Street S.E.
Washington, D.C. 20003