EmailMe Form - Nominations for SC&RA's 4 Under 40 Application

Nominee's Name *

First Last

Title *

SC&RA Member Company *

Applicant Must be a Full Time Employee of a Current SC&RA Member Company

Office Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Phone Number *

### - ### - ####

Email *

Website *

Provide at least one example of how the nominee has contributed to your current company or organization's growth, innovation, or profitability over the past 12 months. *

Please attach a reference letter on why the selection committee & SC&RA should consider this nominee as part of the 2024 4 Under 40 class. *

You may include up to three reference letters within your company and you can upload them below.

Please Sign this box to release any of the information provided in this application (or testimonials) for SC&RA's use in reaching out to the nominee for a full application.

Clear

Your Signature *

First Last

Your SC&RA Member Company *

The Nomination Must be Come From a Full Time Employee of a Current SC&RA Member Company