BRBJ 20 Under 40 Nomination Form

The Blue Ridge Business Journal’s 20 Under 40 program recognizes people in the Blue Ridge region who are considered emerging leaders by readers of the journal.

Selections will be made by a panel of judges from nominations submitted by readers. Only people who are nominated, using this application, will be considered for the recognition. Nominations must be made using this online form and will not be accepted by e-mail, fax, hand delivery or U.S. Mail.

The Blue Ridge Business Journal reserves the right to accept or reject any application for any reason.

Publishing the nominees, the finalists or the award recipients is at the sole discretion of the Blue Ridge Business Journal.

Questions? E-mail them to news@bizjournal.com and put "20 Under 40" in the subject line.

Deadline for submissions is Aug. 2.

NOMINATOR

(Person completing this form)

Name*
Title/Position*
Company/organization*
Address*
City*
State* Zip* Area Code*
Telephone*
E-mail*

NOMINEE

(Person being nominated)

Name*
Age*
Company/organization*
Nature of business*
Location of business* Area Code*
Telephone*

NOMINEE BACKGROUND, PHILOSOPHY, ETC.

Provide the nominee’s background – birthplace, marital status, children, education, etc.*

What is the nominee’s business philosophy?*

How is the nominee involved in his/her community?*

What is the most important thing to know about the nominee?*

The main reason I am nominating this person is:*

VERIFICATION

We reserve the right to verify all entries by interviewing employees, supervisors or staff of the individual nominated. Please provide the names and contact information of two employees/co-workers/supervisors of the nominee.

Name* Area Code*
Telephone*
E-mail*

Name* Area Code*
Telephone*
E-mail*

Items marked with an asterisk (*) are required.

To help us prevent SPAM please fill in the following numbers:

NOMINATOR (Person completing this form)

NOMINEE (Person being nominated)

NOMINEE BACKGROUND, PHILOSOPHY, ETC.

VERIFICATION

NOMINATOR

(Person completing this form)

NOMINEE

(Person being nominated)