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4 Under 40 Nomination Form
I nominate the following individual. I understand that I should not notify the person nominated and that I cannot submit this nomination anonymously.
First Name
*
Last Name
*
Business or Affiliation
*
Job Title or Role
*
Email
*
Enter Email
Confirm Email
Best phone number
*
Please tell us why you feel this person is deserving of the 4 Under 40 recognition.
*
Please tell us what groups, organizations, clubs etc. they belong to, to the best of your knowledge?
*
Please tell us what volunteer positions they currently serve, to the best of your knowledge?
*
Please list any awards or recognitions the person has previously received, to the best of your knowledge?
*
Nominator’s information
First Name
*
Last Name
*
Phone Number
*
Email
Enter Email
Confirm Email
I understand that by hitting submit, I have nominated the above individual for the Fairmont 4 Under 40. My nomination in no way obligates me, the nominee or their organization to financially contribute to the Twin Valley Council, Boy Scouts of America
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