2022 Future 15 Nomination Form

2022 Future 15 Nomination Form
NOMINATION CRITERIA:
- YP must live or work in the Fox Cities*
- YP must be currently employed
- YP should be active in community service
- YP must be 40 years of age or younger
- Applications sent to each nominee must be completed by the nominated person and then submitted (only one nomination is necessary; multiple nominations do not strengthen candidate’s chance at winning)
- If selected as a recipient, must agree to be featured in a video shown the night of the event and also on social media
- Previous winners are not eligible to reapply
*The Fox Cities Chamber serves all of the Fox Cities communities within the counties of Outagamie, Calumet and the northern portion of Winnebago.
Please enter your name:

First Name Last Name
Your Email:
example@example.com
Your Phone Number:

Area Code Phone Number
Your Company Name:
Your Job Title:
Please enter the following information of the person you are nominating:

First Name Last Name
Nominee's Job Title:
Nominee's Company Name:
Nominee's Email:
example@example.com
Nominee's Phone Number:

Area Code Phone Number
Why should this person be a Future 15 award winner?
How do you know the person you are nominating?
May we let the nominee know that you nominated them?

YES, please let the nominee know I nominated them. NO, I wish to remain anonymous.
Should be Empty: