MENTOR AWARDS 2007

NOMINATION FORM

NOMINATIONS MUST BE IN BY 31ST JULY.

You must ask the mentors permission to nominate them and give them a copy of the completed nomination form they can put in their professional portfolio.

NOMINATOR’S DETAILS
NOMINATORS NAME:
STATUS: / CENTRE:Boston, Derby, Lincoln,
Mansfield, Nottingham
(please circle where based)
CONTACT DETAILS
ADDRESS:
PHONE NUMBER:
‘E’ MAIL:
MENTOR’S DETAILS
MENTORS NAME: / PLACEMENT NAME:
CONTACT DETAILS
ADDRESS / ADDRESS:
PHONE NUMBER:
‘E’MAIL:
AWARD CRITERIA
Outlined below are criteria against which the Mentor’s will be judged, in order to award one overall winner and one winner from each centre of the School of Nursing.
CRITERIA
  • Ability to facilitate your learning.
  • Effectiveness of their communication skills
  • Abilities as an assessor
  • Effectiveness as a leader/role model
  • Ability to meet your individual learning needs.
  • Ability to foster an effective learning environment.

EVIDENCE IN SUPPORT OF NOMINATION
Using the criteria as a guide in no more than 200 words say why the Mentor you are nominating should be the winning Mentor for 2007. Put your comments on the form, page 2 of this document.
SUPPORTING EVIDENCE FOR NOMINATION
The following were considered when the criteria were formulated:
Kitchen, J. and Auger, T (2006) Expectations of a Mentor. The students experience. Presentation at Practice learning Team Conference. University of Nottingham 25.05.06.
Mentor Award Nominations 2006
Department of Health (2004) The NHS Knowledge and Skills Framework (NHSKSF) and the development review process. The Department of Health.London.
N.M.C. (2004) Standards for the preparation of teachers of nurses, midwives and specialist community public health nurses. London: N.M.C.
N.M.C. (2006) Standards to support learning and assessment in practice. N.M.C. standard for mentors, practice teachers and teachers. London: N.M.C.
Where did you:
a) Hear about the awards?
b) Obtain this nomination form?

PLEASE E MAIL YOUR COMPLETED NOMINATION TO:

1

NQZSP1/WP51/PHALLAM/MN Award Form.26.02.07