The Regional 30 Under 40 Nomination Form 2018

Committed to its mission of building a vibrant community of thriving businesses who understand the greater good of our communities, the West Suburban Chamber of Commerce and Industry is excited to announce The Regional 30 Under 40. This initiative and event will honor 30 of the region's young professionals who are making a deep impact on our local communities.

• Under the age of 40 by May 1, 2018
• Must live or work in one of the WSCCI communities (Brookfield, Countryside, Hodgkins, Indian Head Park, McCook, La Grange, La Grange Park, Western Springs and Willow Springs)
• Has a strong passion for his/or her company’s mission and culture
• Consistently exhibits characteristics that demonstrate continued success and leadership skills
• Has made a significant contribution/impact on one or more communities in the region

• Nominations due no later than February 15, 2018
• Winners will be selected by a committee by February 28, 2018
• Public announcement the week of March 12, 2018
• Event May 17, 2018 from 6 to 8 pm at Brookfield Zoo

NOTE: Nominees and their companies are not required to be members of the West Suburban Chamber of Commerce & Industry.

* 1. Information about The Regional 30 Under 40 Nominee

* 2. Criteria Met (check all that apply):

* 3. In 300 words or less, please explain why you are nominating this individual to be recognized as a Regional 30 Under 40. Refer to the criteria above when responding. Be sure to include any and all unique factors that will help your nominee stand out.

* 4. Nominator's Information