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SIOUX CENTER SHOPPER – TUESDAY, JANUARY 8, 2019 PAGE 9<br />
SUBMIT YOUR NOMINATION FOR 2019<br />
40<br />
13TH ANNUAL<br />
honoring the accomplishments of 20 area entrepreneurs, managers,<br />
business owners and professional men and women under 40 years of age.<br />
20UNDER<br />
CRITERIA:<br />
• Selection will be based on creative leadership and growth of the organization or department under the nominee’s stewardship.<br />
• Applications should be submitted to N’West Iowa Business on this form or through our website: nwestiowa.com. Please fill out<br />
the nomination form completely and accurately, giving us thorough explanation for all criteria.<br />
• Additional background information will be accepted. This could include a current resume, personal biography or articles.<br />
(Please limit to 2 pages). Attach files to nomination e-mail.<br />
• Multiple nominations from one company are accepted. However, only one person per company will be selected.<br />
• Nominations must come from the area served by Northwest Iowa Community College. Nominees must be under 40 years of<br />
age as of Friday, Feb. 1, 2019<br />
N O M I N A T I O N F O R M<br />
Nominee __________________________________________________________<br />
E-mail ________________________________________________________<br />
Current Position ____________________________________________________<br />
Company/Organization ________________________________________<br />
Company Address _________________________________________________<br />
Number of years in career _______________________________________<br />
Company Phone Number ___________________________________________<br />
Age (Feb. 1, 2019) ____________________________________________<br />
City, State, ZIP _____________________________________________________<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 />
________________________________________________________________ Title ___________________________________________________________<br />
________________________________________________________________ Address________________________________________________________<br />
Nominated by ___________________________________________________ E-mail _________________________________________________________<br />
Company _______________________________________________________<br />
Phone Number ___________________________________________________<br />
CORPORATE SPONSORS<br />
GO TO WWW.NWESTIOWA.COM/20UNDER40<br />
OR USE THE FORM ABOVE TO SUBMIT YOUR NOMINATIONS.<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 />
603 W. Park St., Sheldon, IA<br />
712-324-5061•800-352-4907•www.nwicc.edu<br />
MEMBER FDIC • Orange City • Hull • Ireton • Craig<br />
Paullina • Sheldon • Sanborn • Remsen
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