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40 Under Forty Application

Fields with a * are required fields.

NOMINEE INFORMATION

Name*
Job Title*
Company Name*
Company Address*
City*
State*
Zip*
Company Phone Number*
E-Mail Address*
Birthday (please include year)*

NOMINATOR CONTACT INFORMATION

Name*
Phone Number*
E-Mail Address*
What is your association with the nominee?*

NOMINATION INFORMATION

Nomination Question 1*
Give a brief description of the nominee's professional achievements. Suggestions: include recent significant business accomplishments, past distinctions or awards.
Nomination Question 2*
Tell us about the nominee's level of expertise. Suggestions: include educational history and qualifications, professional memberships or designations, years of work in their field.
Nomination Question 3*
Tell us about the nominee's community involvement. Suggestions: include positions on boards and involvement with charitable, community, religious and professional organizations, and include any distinctions and awards for community service.
Nomination Question 4*
Tell us about the nominee's leadership abilities and experience. Suggestions: demonstrations of the nominee's leadership and innovation, and how the nominee's company or organization has grown or benefited due to his/her leadership.

Supporting Materials

Supporting materials are allowed, but not required, to aid in the judging process. Please do not include more than 2 letters of support for your nominee. You may also include a copy of the nominee's curriculum vitae.

You may upload an attachment with your submission. We accept the following file types:
pdf,doc,docx


Title:
Description:
Source:
File:


 

 

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