40 under Forty Nomination Form

BusinessWest is pleased to announce its Class of 2012 40 Under Forty, a celebration of young business and civic leaders in the Pioneer Valley, an undertaking in which our readership will play a pivotal role. Indeed, the process of selecting this region’s 40 Under Forty begins with nominations.
The selected individuals will be profiled in an upcoming edition of BusinessWest, which will be a must-read issue. Please take a few minutes and help us identify the region’s 40 Under Forty.

Save the Date

The selected individuals will be profiled in the April 23rd edition of BusinessWest and celebrated at The Log Cabin on Thursday, June 21st.
For more information call (413) 781-8600

About the nomination form:

• Candidates should have achieved professional success and be active at a board level in civic organizations.
• Only nominations submitted to BusinessWest on
this form will be considered.
• Fill out the nomination form completely.
• Photocopies are acceptable.
• Supporting information may be attached to this form but will not be considered as the sole source. For example, a résumé will NOT replace the nomination form.
• Deadline is February 17, 2012. No exceptions.
• Nominees must be under 40 as of April 1, 2012.

Fill out the nomination form completely.
  • As of March 1
  • (job responsibilities, special projects, business-related affiliations)
  • (board involvement in community, state, or national organization, including trade associations)
  • (spouse, children if applicable)
  • Nominated by (your information):

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