2026 Young Leader Award Nomination Form
Please fill out this form to nominate someone to be recognized for their breakthrough leadership. **Note: We do not accept self-nominations.
Nominator's Information
Nominator's Name
*
First Name
Last Name
Nominator's Email
*
example@example.com
Nominator's Phone Number
*
Please enter a valid phone number.
Nominee's Information
Nominee's Name
*
First Name
Last Name
Nominee's Company/Affiliation
*
Nominee's Email
*
example@example.com
Nominee's Phone Number
*
Please enter a valid phone number.
Nominee's Birthdate
*
-
Month
-
Day
Year
Date
Nominee's Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Nominator's Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Describe the nominee’s success in a specific industry, initiative or sector (local, national or international).
*
Describe the nominee’s key leadership characteristics and how these have contributed to their success.
*
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Describe the qualities of innovation the nominee has exhibited in their field of endeavor.
*
Additional information to consider:
*
Upload the nominee's CV, Bio or Resume
*
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Upload the nominee's Letter of Recommendation (1 of 2)
*
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Upload the nominee's Letter of Recommendation (2 of 2)
*
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