2025 Nomination Form for 40 Under 40 Candidates.

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1. NOMINEE: (Required.)

Name

Company/Business

Address

City

State

ZIP Code

Email Address

Phone Number

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2. NOMINEE AGE: (Required.)

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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. (Required.)

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4. NOMINATOR: (Required.)

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: