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Forty under 40 nomination form
The Business Record is seeking nominations for our 15th annual Forty under 40 awards. Candidates will be judged on both professional accomplishment and involvement with civic organizations. Nominees must be less than 40 years of age as of March 11, 2014 to be considered for recognition.

Nominations must be received by noon on Friday January 10, 2014.

Sponsored by:  University of Iowa Tippie School of Management,
Merit Resources, Sheraton West Des Moines, NCMIC, and I Have a Dream

Nominee
Required
Current Position
Required
Company/Organization
Required
Company Phone Number
Company Address
City, State, Zip
Required
E-mail address
Birthdate
Required
College(s) attended and Degree(s) earned
Business accomplishments (job responsiblities, special projects, business related affilitions, etc)
Civic Leadership (board involvement, etc)
Achievements, Awards, Special Recognitions
Upload resume, photo, letters of recommendation*
Total limit: 500KB
Attachment #2
Total limit: 500KB
Attachment #3
Total limit: 500KB
Attachment #4
Total limit: 500KB
Nominated by
Company
Title
Phone Number
E-mail address
 
*Submission of additional supporting materials, particularly a resume, while not required is highly recommended.

 

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