2023 40 Under 40 Honoree Input for Magazine

Deadline is June 2, 2023

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Full Name *

Please type in your name as you would like it to appear on the award

Position/Title *

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Business *

Phone

Age

Email *

Upload Hi Res Headshot *

Max. file size: 10 MB.

No low resolution head shots accepted

Career Background / Highlights: *

Commitment To Community: *

Favorite professional moment: *

Who is your role model / mentor? *

What mistake has taught you the most, and why? *

Where can we find you after work, or on the weekends? *

Finish this sentence: If I could do any job in the world, without pay, it would be... *

Favorite local hangout? *