Top 40 Under 40 Nomination Form

Do you know someone who has gone above & beyond their call of duty in their jobs, families, and communities?

Submit a nomination for a chance to have their hard work recognized at The 2024 Annual Meeting.

Nominees will be evaluated for their commitment to business growth and development, professional excellence, leadership, achievements as well as community service.

Fields marked with an * are required.

Nominator Information
Please fill out the fields below for the person submitting this nomination.

Self Nominated? *

First Name *

Last Name *

Email Address *

Phone *

Relationship to Nominee *

Nominee's Information
All nominees must be under the age of 40 as of December 31, 2024.

First Name *

Last Name *

Title *

Company *

Industry of Company

Email *

Phone *

Work Address

Age as of December 31, 2024 *

Birth Date *

Professional Achievements

Include organizations where the nominee currently works and has previously worked *

Detail important dates, titles and responsibilities.

Additional Information could include:

Significant professional accomplihments
Licenses, degrees, areas of professional expertise
Honors and awards (list dates, etc)
Special skills and abilities

Leadership

Include entrepreneurial activities & initiative and/or innovative business growth & development *

Community Service

Include past and present active involvement in community organizations *

Additional information could include:

Nature of involvement
Honors/Awards
Milestones and/or significant accomplishments on behalf of community organizations

Please verify that you have checked the “I'm not a robot” checkbox.