40 Under 40 Nominations
Nomination deadline, Saturday, June 1, 2024
Nominee's Name
*
First Name
Last Name
Nominee's Email Address
*
example@example.com
Nominee's Cell Phone Number
*
Please enter a valid phone number.
Nominee's Date of Birth
*
-
Month
-
Day
Year
Date
Nominee's Current Age (Must be younger than 40 as of Nov. 1, 2024)
*
Does nominee currently live in Western Pennsylvania?
*
Yes
No
Nominee's Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Nominee's Gender
*
Female
Male
Non-Binary
Nominee's Pronouns
*
Nominee's LinkedIn Profile Link
Nominee's Facebook Page Link
Nominee's Instagram Link
Nominee's X (Twitter) Link
Industry
*
Architecture, Engineering, and Construction
Arts & Entertainment
Civics, Government, and Public Affairs
Culinary Arts, Events, and Hospitality
Energy, Mobility, and Transportation
Financial and Insurance Services
Innovation and Start-up
Journalism, Marketing, and Public Relations
Legal
Medicine and Healthcare
Nonprofit Service
Real Estate
Sports, Wellness, and Fitness
Technology
Youth and Education
Other
Nominee's Place of Employment
*
Nominee's Current Title
*
Has the nominee been previously selected as a 40 Under 40 winner?
*
Yes
No
PROFESSIONAL ACHIEVEMENT: max. A 250-word summary describing the nominee's expertise, professional achievements, activities, and milestones. Judges will consider: Professional experience and educational background; Business/corporate activities/Nature of participation; Leadership positions held; Special recognitions received; Impact on the workplace; Positive regional impact.(Required)
*
0/250
COMMUNITY IMPACT: max. 250-word summary addressing the nominee’s community involvement. Particular attention will be paid to the nominee’s overall commitment to and impact on the Pittsburgh region. Judges will consider: Activities unrelated to the profession; Nature/level/duration of participation; Leadership positions held; Special recognition received; Circumstances that may have affected ongoing active involvement; Positive regional impact.(Required)
*
0/250
PERSONAL STATEMENT: max. 250-word summary answering the question, WHY should this person be selected?(Required)
*
0/250
Optional Nominee Information: The 40 Under 40 program strives to be representative of the diversity of our region. The following question is optional. How would the nominee describe him or herself? (Optional/Check all that apply)
American Indian / Native American
Asian
Black / African American
Hispanic / Latino
White / Caucasian
Pacific Islander
Nominator's Name
*
First Name
Last Name
Nominator's Email Address
*
example@example.com
Nominator's Cell Phone Number
*
Please enter a valid phone number.
How did you hear about 40 Under 40?
Pittsburgh Magazine
PUMP
Facebook
Instagram
Other
I am a former 40 Under 40 Honoree
*
Yes
No
Submit
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