2017 Young Futurists Nomination Form
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What is the nominee's first name?
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Your answer
What is the nominee's last name?
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Your answer
Does the nominee have a title, and if so, what is it?
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What is the nominee's field or area of study?
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What company, school or organization is the nominee affiliated with?
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What is the nominee's gender?
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Male
Female
Gender noncomforming
What is the nominee's age?
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In a couple of sentences, please explain why the nominee fits the criteria for The Root's Young Futurists. Please note any major accomplishments you are aware of, especially within the past year.
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What is the nominee's email address?
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What is the nominee's phone number?
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What is the nominee's Twitter handle?
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Are there any websites you would recommend to learn more about the nominee?
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What is your name?
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Your answer
What is your email address?
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Your answer
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