2025 Nomination Form for 40 Under 40 Candidates.

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* 1. NOMINEE:

Name

Company/Business

Address

City

State

ZIP Code

Email Address

Phone Number

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* 2. NOMINEE AGE:

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* 3. Describe how this individual has made a significant impact in innovation and entrepreneurship, public service, advocacy, philanthropy, or emerging career success.

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* 4. NOMINATOR:

Name

Company/Business

Address

City

State

ZIP Code

Email Address

Phone Number

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* 5. Resume/Bio:

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* 6. Letter of Support: