2017 40 Under 40 Nominations

Presented by:

Pittsburgh Magazine and PUMP present the 19th Annual 40 Under 40 Awards. The program recognizes 40 individuals under the age of 40 whose creativity, vision and passion enrich the Pittsburgh region.

 

All nominees must be born after Nov. 1, 1977. Deadline is Friday, May 31.

 

 

1. Enter Nominee Information

Nominee First Name*

Nominee Last Name*

Nominee Age*:   Nominees must be younger than 40 as of Nov. 1, 2017.

Nominee Date of birth: 

Nominee Gender:   Male      Female       Other  

Nominee Address: 

Nominee City:      

State:       Zip:  

Does the nominee currently live in Western Pennsylvania?*: Yes   No  

Nominee Phone Number*:     

Nominee E-Mail*:  

Nominee Place of employment*:  

Nominee Current title*

Has the nominee been previously selected as a 40 Under 40 winner?: Yes No 

 

2. Answer the Following Questions Thoughtfully and Carefully

 

PROFESSIONAL ACHIEVEMENT: max. 200-word summary describing the nominee's professional achievements, activities and milestones Judges will consider: Professional experience and educational background; Professional activities/Nature of participation; Leadership positions held; Special recognitions received; Impact on the workplace; Positive regional impact

COMMUNITY IMPACT: max. 200-word summary addressing the nominee’s community involvement • Note: Particular attention will be paid to the nominee’s overall commitment to and impact on the Pittsburgh region. Judges will consider: Activities unrelated to profession; Nature/level/duration of participation; Leadership positions held; Special recognition received; Circumstances that may have affected ongoing active involvement; Positive regional impact 

PERSONAL STORY: max. 200-word summary describing the nominee's personal story • What sets the nominee apart? Judges will consider: Does the candidate excel beyond the level of their occupation; Reason for nomination

 

ADDITIONAL INFORMATION (200-word max):

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
Other: 

 

3. Enter Your Information

Nominator's Name*:  

Address: 

City:      

State:       Zip:  

Phone Number*: 

Nominator's E-Mail*:  

How did you hear about 40 Under 40?

* Required Fields

4. Upload Supporting Documents

Suggested documents include resume, recommendations, press releases or related articles (please, no photos)

 

This page requires javascript. It seems that your browser does not have Javascript enabled. Please enable Javascript and press the Reload/Refresh button on your browser.

You may upload an attachment with your submission. We accept the following file types:
jpg,jpeg,gif,png,pdf,doc,txt


Title:
Description:
Source:
File: