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4 | FEBRUARY 6, 2016 | <strong>DIS</strong>COVER!<br />

SUBMIT YOUR NOMINATION FOR 2016<br />

20 UNDER 40<br />

10TH ANNUAL<br />

honoring the accomplishments of 20 area entrepreneurs, managers,<br />

business owners and professional men and women under 40 years of age.<br />

CRITERIA:<br />

• Selection will be based on creative leadership and growth of the<br />

organization or department under the nominee’s stewardship.<br />

• Applications should be submitted to N’West Iowa Business on this form or through<br />

our website: nwestiowa.com. Please fill out the nomination form completely and<br />

accurately, giving us thorough explanation for all criteria.<br />

• Additional background information will be accepted. This could include a current<br />

resume, personal biography or articles. (Please limit to 2 pages). Attach files to<br />

nomination e-mail.<br />

• Multiple nominations from one company are accepted. However, only one person<br />

per company will be selected.<br />

• Nominations must come from the area served by Northwest Iowa Community<br />

College. Nominees must be under 40 years of age as of Friday, Feb. 5, 2016<br />

N O M I N A T I O N F O R M<br />

Nominee ________________________________________________________________<br />

Current Position __________________________________________________________<br />

Company Address _______________________________________________________<br />

Company Phone Number _________________________________________________<br />

City, State, Zip ___________________________________________________________<br />

E-mail _________________________________________________________________<br />

Company/Organization _________________________________________________<br />

Number of years in career ________________________________________________<br />

Age (Feb. 5, 2016) _____________________________________________________<br />

Birthday (must be included) _______________________________________________<br />

College(s) attended and degree(s) earned ___________________________________________________________________________________________________________<br />

Business accomplishments (job responsibilities, special projects, business related affiliations)<br />

________________________________________________________________________________________________________________________________________________<br />

________________________________________________________________________________________________________________________________________________<br />

Achievements, awards, special recognition<br />

________________________________________________________________________________________________________________________________________________<br />

________________________________________________________________________________________________________________________________________________<br />

Family (spouse, children)<br />

________________________________________________________________________________________________________________________________________________<br />

________________________________________________________________________________________________________________________________________________<br />

Nominated by ___________________________________________________________ Title __________________________________________________________________<br />

Company _______________________________________________________________ Address_______________________________________________________________<br />

Phone Number _____________________________________________________ E-mail ________________________________________________________________<br />

SUBMIT YOUR<br />

ENTRY ONLINE!<br />

NWESTIOWA.COM<br />

CORPORATE<br />

SPONSORS<br />

Iowa Information<br />

PUBLISHERS AND PRINTERS<br />

Iowa Information<br />

PUBLISHERS AND PRINTERS<br />

P.O. Box 160, Sheldon, IA 51201<br />

712-324-5347 • 800-247-0186<br />

NOMINATIONS CLOSE FRIDAY, FEBRUARY 12, 2016<br />

603 W. Park St., Sheldon, IA<br />

712-324-5061•800-352-4907•www.nwicc.edu<br />

Orange City • Hull • Ireton • Craig<br />

Paullina • Sheldon • Sanborn • Remsen

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