40 Under Forty - Nomination Form
Nomination Period: Dec. 3 - Jan 6, 2019. Nominate a deserving Young Professional today!

Forty young professionals will be selected and featured in the Annual '40 Under Forty' Business Report to publish on March 7, 2019. All nominees will be reviewed by a panel of judges for the opportunity to be awarded specific category awards. All forty selected nominees will be honored at the banquet. The banquet will be held the first week of March.

For additional questions regarding the 2019 40 Under Forty process or banquet please contact:
News-Journal Events Manager, Kaitlyn Stier, kaitlyn.stier@news-jrnl.com 386-681-2365 or
Business Editor, Clayton Park, clayton.park@news-jrnl.com

***After you complete this form please email a head shot of the nominee to events@news-jrnl.com***

Email address *
Nominator's Information
First and Last name *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
Company Name *
Your answer
Title *
Your answer
Relationship to nominee *
Your answer
Year's known *
Your answer
Nominee Information
Nominee's Name *
First and last name
Your answer
Nominee's Age *
Your answer
Company Name *
Your answer
City company is located *
Your answer
Title *
Your answer
Phone number *
Your answer
Email Address *
Your answer
Reasons you believe the nominee deserves recognition: *
Your answer
Specific accomplishments/successes this past year: *
Your answer
Professional background and successes: *
Your answer
Volunteer work & community involvement: *
Your answer
Annual community service hours: *
Your answer
Awards this nominee qualifies for: *
Check all that apply
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A copy of your responses will be emailed to the address you provided.
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