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2019 Young Futurists Nomination Form
The Root's Young Futurists honors the work of African Americans between the ages of 10 to 24 who excel in the fields of social justice/activism, enterprise & corporate innovation, arts & culture, science & tech, and green innovation. Please fill out the form below to nominate your candidate.
*Obligatoire
What is the nominee's first name?
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Votre réponse
What is the nominee's last name?
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Votre réponse
Does the nominee have a title and if so, what is it?
Votre réponse
What company, school or organization is the nominee affiliated with?
Votre réponse
What is the nominee's field or area of study?
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Social justice/activism
Enterprise & corporate innovation
arts & culture
Science & tech
Green innovation
What is the nominee's gender?
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Male
Female
Gender nonconforming
What is the nominee's age? (Must be 10-24)
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Votre réponse
In a couple of sentences, please explain why the nominee fits the criteria for The Root's Young Futurists. Please note any major accomplishments, specifically within the last year.
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Votre réponse
What is the nominee's email address?
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Votre réponse
What is the nominee's phone number?
Votre réponse
What is the nominee's Twitter handle?
Votre réponse
What is the nominee's Instagram handle?
Votre réponse
What is the nominee's Facebook profile name?
Votre réponse
Are there any websites you would recommend to learn more about the nominee?
Votre réponse
What is your name?
*
Votre réponse
What is your email address?
*
Votre réponse
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