Black 40 under 40 Nomination Form

The Black 40 under 40 Awards is designed to honor and applaud young professionals under the age of 40 for significant accomplishments in their chosen professional field, as well as their commitment and contribution to the community.

To nominate an outstanding young professional, please complete the form below.

Your Name *

First

Last

City

Your Email Address *

Name of Nominee *

First

Last

Nominee Email *

Nominee Phone Number

Nominee Company / Organization / Business Name

Nominee Position

Nominee Industry

Other Industry

Why Should Nominee Be Considered for Award

Please write brief paragraph including honorees accomplishments, community involvement, community impact and awards or upcoming initiatives. ( Please excluded personal opinions, awards are based off of tangible merritt and measurable impact.)

Message

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