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20 Under 40 Nomination Form

The DPA's 20 under 40

Know an overachiever under 40?

Nominations are being accepted for the fourth annual "20 Under 40" group in the area. The purpose is to recognize 20 people under the age of 40 who have achieved significant accomplishments in their field and have a likelihood of more success in the future. Community service is a key part of the nominating process.

NOMINATE SOMEONE YOU FEEL MEETS THE FOLLOWING CRITERIA:

  • Dedication and success in their vocation
  • A role model in their career
  • Demonstrates leadership in their business
  • Is making a positive impact on our community

Nominees must be 39 years of age or younger as of Dec. 31, 2012. You may nominate more than one person and you may nominate yourself.

All nominations must be received by 5 p.m. on July 9.

All the winners will be featured in a special section The Daily Post-Athenian will publish July 31.

Nominee's Name: Date of Birth

Nominee's Company/Business/Organization

Nominee's Title:

Nominee's Home Address:

Nominee's Phone: Nominee's Fax

Nominee's E-Mail

Describe Nominee's Professional Success:

Community Involvement:

Why is this person a great 20 Under 40 candidate?

Special honors or accomplishments:

Additional information about your candidate:

Nominated by

Company

Phone Fax

E-Mail

   

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