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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