30 under 30 Nomination Form

Please complete the form below to the best of your ability. Incomplete submissions may render the candidate ineligible.
Your Contact Information
Nominee Contact Information
* Eligible candidates must be under the age of 30 at the time of nomination.
Please briefly share with us why you are nominating this individual. Include information about the nominee's current profession or area of study, if known. (5,000 character limit.)

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