IMPACT!

The NM Network for Women in
Science and Engineering Award


2010 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, is embarking on a new means to recognize the contributions of women in New Mexico. The 4th 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 October 8-10, 2010 at the Valles Caldera National Preserve, NM.

NOMINEE: _________________________________________________________________________________

ADDRESS: _________________________________________________________________________________

CITY: ____________________________________________ ZIP: ____________________________________

CONTACT PHONE: ________________________________ EMAIL: _________________________________
 


 
NOMINATOR: ______________________________________________________________________________

ADDRESS: _________________________________________________________________________________

CITY: ____________________________________________ ZIP: ____________________________________

CONTACT PHONE: ________________________________ EMAIL: _________________________________

 
Mail your nomination packet to:
NM Commission on the Status of Women
Attn: Impact! Award
300 San Mateo Blvd. NE, Suite 101
Albuquerque, NM 87108

DEADLINE: FRIDAY, SEPTEMBER 17, 2010

Questions?
Call the Commission at 1-800-432-9168


2011 Nomination Form will be available early summer 2011.

Instructions for Nomination Form