4 Under 40 Nomination Form

Please be detailed in your nomination. The selection committee that will review the nominations may not know the individual you are nominating, so the more detail you can provide, the better.

I nominate the following individual. I understand that I should not notify the person nominated and that I cannot submit this nomination anonymously.
Age Certification*
- I certify that the individual below that I am nominating is at least 18 years old, but will not yet be 40 at the time of the 4 Under 40 event
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.*
Provide as much detail as possible.
Please tell us what groups, organizations, clubs etc. they belong to, to the best of your knowledge?*
Provide as much detail as you can. If you know, include things like what the organizations do, how the individual is or has been involved, etc.
Please tell us what volunteer positions they currently serve, to the best of your knowledge?*
Provide as much detail as possible including years served, roles, etc.
Please list any awards or recognitions the person has previously received, to the best of your knowledge?*
Provide as much detail as possible including year(s) earned, what the award was for, etc.
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 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.