2026 40 Under 40 Nomination Form

40 Under 40 Nominations

Nomination deadline: Monday, May 18, 2026
Nominee's Name*

First NameLast Name
Nominee's Email Address*
example@example.com
Nominee's Cell Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Nominee's Date of Birth*

MonthDayYear
Date
Nominee's Current Age (Must be younger than 40 as of Nov. 1, 2026)*
YesNo
Nominee's Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
FemaleMaleNon-Binary
Nominee's Pronouns*
Nominee's LinkedIn Profile Link
Nominee's Facebook Page Link
Nominee's Instagram Link
Nominee's X (Twitter) Link
Architecture, Engineering, and ConstructionArts & EntertainmentCivics, Government, and Public AffairsCulinary Arts, Events, and HospitalityEnergy, Mobility, and TransportationFinancial and Insurance ServicesInnovation and Start-upJournalism, Marketing, and Public RelationsLegalMedicine and HealthcareNonprofit ServiceReal EstateSports, Wellness, and FitnessTechnologyYouth and EducationOther
Nominee's Place of Employment*
Nominee's Current Title*
YesNo
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
American Indian / Native AmericanAsianBlack / African AmericanHispanic / LatinoWhite / CaucasianPacific Islander
Nominator's Name*

First NameLast Name
Nominator's Email Address*
example@example.com
Nominator's Cell Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Pittsburgh MagazinePUMPFacebookInstagramOther
YesNo
Should be Empty:

40 Under 40 Nominations