2021 Top Community Leaders Under 40 Nomination Form

We're searching for the 14th annual class of Top Community Leaders Under 40!

Maybe they serve with you on a charitable board, work as a leader in your business, or are one of the successful young entrepreneurs thriving in our region. We are looking for leaders who are passionate about making this community an even better place to live, work, and play.

Nomination Criteria:

Must be between the ages of 21-40 as of August 1, 2021

Must live and/or work in Effingham County

Must not be a previous recipient

NOMINATIONS ARE DUE NO LATER THAN AUGUST 24

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* 1. Your Name

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* 2. Your Phone

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* 3. Your Email

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* 4. Your Relationship to the Nominee

Friend

Colleague

Employer/Supervisor

Relative/Family Member

Other

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* 5. Name of Nominee

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* 6. Nominee's Birthday

Date / Time

Date

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* 7. Nominee's Employer

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* 8. Nominee's Position/Title

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* 9. Nominee's Phone

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* 10. Nominee's Email

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* 11. Please tell us why you are nominating this person (PRO TIP: describe how the nominee has made a significant impact within their career through their leadership and work ethic while also giving back to the community through civic involvement). Answer must be at least 250 but not more than 350 words.