40 Under 40 Nomination Form

Nomination Form

BusinessWest is pleased to announce 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.
Candidates should have achieved professional success and be active at a board level in civic organizations.

40 under Forty Nomination Form

Fill out the nomination form completely.

"*" indicates required fields

Nominee's Contact Information

Nominee's Name*
Current Company Address*
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):