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Accomplished & Under 40 Nomination
NOMINEE INFORMATION
Name (*)
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Date of Birth (*)
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Employer (*)
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Title or Position (*)
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Email (*)
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Home/Work Street Address (*)
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Nominees must live or work in Clark County.
City (*)
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Zip Code (*)
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Home Phone (*)
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Cell Phone (*)
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Day Phone
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RESUME AND LETTERS OF RECOMMENDATION
Resume (*)
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Valid file formats are .doc,.pdf,.csv
Letter of Recommendation 1
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Letter of Recommendation 2
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Letter of Recommendation 3
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Valid file formats are: doc,pdf,csv
NOMINATOR INFORMATION
Name (*)
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Employer
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Email (*)
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So that we may contact you if additional information is needed.
Day Phone
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Cell Phone (*)
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Relationship to Nominee (*)
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FOLLOW THE VBJ ON