IMPACT!

The NM Network for Women in
Science and Engineering Award


2016 Nomination Form
   
NM Commission on the
Status of Women

The New Mexico Network for Women in Science and Engineering, in cooperation with the NM Commission on the Status of Women, initiated in 2007 the NMNWSE IMPACT! Award to recognize the contributions of women in New Mexico. This fall, the 10th Annual IMPACT! Award will be presented to a New Mexico woman for her extraordinary efforts in furthering the goals of the Network. These goals include encouraging and helping women enter and succeed in Science, Technology, Engineering and Math (STEM) and related nontraditional careers and promoting networking and communication among women in these careers. The honoree will be recognized during the NMNWSE Annual Meeting and Technical Symposium, which will be held in late October - the exact date and location will be posted when available.

NOMINEE: _________________________________________________________________________________

ADDRESS: _________________________________________________________________________________

CITY: ____________________________________________ ZIP: ____________________________________

CONTACT PHONE: ________________________________ EMAIL: _________________________________
 


 
NOMINATOR: ______________________________________________________________________________

AFFILIATION WITH NOMINEE: ________________________________________________________________

ADDRESS: _________________________________________________________________________________

CITY: ____________________________________________ ZIP: ____________________________________

CONTACT PHONE: ________________________________ EMAIL: _________________________________

 
E-mail your nomination packet to one of the IMPACT! Award Co-chairs:
Phyllis Baca, phyllis.baca@sfcc.edu, 505-490-1557
Tinka Gammel, jtg@lanl.gov, 505-690-1318
or mail a hardcopy to: IMPACT! Award Chair, NMNWSE, PO box 51926, Albuqerque, NM 87181

DEADLINE: FRiDAY, SEPTEMBER 16, 2016 

Questions?
Contact Phyllis or Tinka, or contact the NMNWSE Board at NMNWSE_Board-L@list.unm.edu

2016 Nominations received after the deadline will be considered for the 2017 Award.
2017 Nomination Forms will be available early summer 2017.

Instructions for Nomination Form