40 Under Forty Candidate Submission Form
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40 Under Forty Nominations


Please fill out the form below to submit your 40 Under Forty candidate packet. Deadline for submission is January 19, 2018 at 11:59pm.

Requirements for submission:

1. Personal statement - (1 page single space) - Discuss why you believe you should be recognized as a 40 Under Forty recipient; what personal or professional impact you've made to Southern and/or the community in which you live and what impact you plan to make as a result of receiving this award that will continue to shine a positive light on Southern University.

2.  Résumé

3. Copy of State Issued Drivers License (for age verification)

4. Completion of Nominee questionnaire below. (Please hover over the questions in the questionnaire for instructions).

NOTE: All documents should be packaged as one PDF and uploaded below.

We encourage nominees to answer the questions below as completely, candidly and concisely as possible.  Evidence of claims made by nominee is not required, but encouraged to give judging panel a more robust picture of the nominee.

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