Nomination Form *All fields are required. Nominations are due by Feb 18. Your Info Nominator's Name: Nominator's Phone: Nominator's Email: Nominee's Info Name of Nominee: Birth Date: Nominees must be 39 or younger as of December 31, 2021. mm/dd/yy Employer: Job Title: Work Phone: Work Email: Responses Career achievement (20 points): Commitment to excellence in career (10 points): Leadership within company and/or industry (10 points): Commitment to business growth (10 points): Involvement in community activities (20 points): Leadership in community organizations (10 points): Files Limit: 5mb per file and PDF, DOC, or DOCX format Nominee's Resumé: Letter: *Please note that all fields are required to submit a nomination. Return to Nominations Page