2022 40 Under 40 Form

2022 40 Under 40 Form

NCAIED 40 Under 40 Awards Nomination Form

Recognizing Native American citizens for outstanding leadership and community contributions annually. The 40 Under 40 is a prestigious award that recognizes 40 emerging American Indians from across Indian Country who have demonstrated leadership, initiative, and dedication and made significant contributions in business and/or in their community. (Must be 39 on January 1, 2022)

Form Date

Nominee Information

Please fill out this section with the nominee information.

First Name*

Last Name*

Tribal Affiliation*

Employer*

Position/Title*

E-mail*

Address*

City

State*

Zip Code*

Birthdate

Nominator Information

Please fill out this section with your information.

Full Name*

Relationship to Nominee*

Nominator E-mail*

Nomination Form

Please fill out this section completely with the reason for nomination.

Please list exceptional achievement/activities*

Please list exceptional contributions impacting Indian Country*

Please share with us any additional relevant information*

Document Submission

To complete the application please submit the following documents. -Three (3) documents supporting the nominee (i.e. resume, reference letters, etc.) -One (1) Color photograph of the nominee (300 dpi – jpg file) -Official State or Federal Tribal enrollment document – mandatory Please note that the nomination will be incomplete until all documents are submitted.

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