EmailMe Form - 5 Under Forty Application for 2026

5 Under Forty Application for 2026

The Georgetown Rotary/Georgetown Chamber of Commerce “5 under FORTY” is a distinguished initiative that will highlight the achievements of 5 outstanding young adults who, despite being under the age of 40, have demonstrated exceptional leadership, excellence in their respective careers, and a commitment to community service.

Criteria:
• Must be between the ages of 20-40 as of December 31, 2026
• Must live/work in Georgetown
• Must have significant contributions to his/her community as a leader

A nominee must:
• have demonstrated professional excellence in their career
• have brought value to the Georgetown business community
• display a commitment to Georgetown through community service
• be younger than the age of 40 as of December 31st, 2026
• submit this completed application by March 27th, 2026

DEADLINE: Please submit your nomination by end of day March 27, 2026.

Qualifications
Were you between the ages of 20 and 40 on December 31, 2026? *
Yes
No
Do you live in Georgetown? *
Yes
No
Do you work in Georgetown? *
Yes
No
Nominee's Information
Your Name *
First Last
Your Company *
Your Email *
Cell Phone *
Work Phone *
Date of Birth *
Mailing Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Background Information
Spouse's Name (if applicable)
Children (if applicable)
Education *
Have you ever pleaded no contest or been convicted of a felony? *
Yes
No
If yes, please explain.
STATEMENT OF PROFESSIONAL ACHIEVEMENTS

Summary describing the nominee's professional journey including achievements, activities and milestones. Examples would be professional experience and educational background; professional activities; leadership positions held; special recognitions received, etc.* (We recommend the nominee write this) (Max 250 words).
Optional: nominee's current updated resume can be attached for further clarity on their professional journey.
Optional: Upload your resume for professional achievements
STATEMENT OF PERSONAL ACHIEVEMENT

Please provide information other than community service that you feel would give the award committee some additional insight into what makes you a well-rounded individual that is excelling not only in your professional career, but also in your personal life. This can include your relationship with family, co-workers, neighbors, etc. (Max 250 words)
STATEMENT OF COMMUNITY IMPACT

Community/Charitable Activities: A demonstrated consistent community
involvement in the last 3 years? *Yes No
*If yes, please provide information on the following: name of organization(s) you have supported, years supported, role/title/sponsorships provided, awards/honors received, and any additional information you would like considered for your community involvement.
(Limited to 250 words or less) (We recommend the nominee write this)
STATMENT OF NOMINATION SUPPORT

Nominations must be supported with 1-3 letters of recommendation by applicant's President/CEO, direct supervisor, board chair or city authority. In cases where an applicant is a business owner, you should submit a supporting letter from a community leader and/or mentor, a major customer, primary supplier, or your bank representative. Your letters of recommendation should answer the question, "WHY do you
feel this person should be selected for the Georgetown Rotary/Georgetown Chamber Five under 40
(Limited to 250 words or less). Nomination support letters should include:
• Nomination Sponsor Full Name (who is supporting this application?)
• Nomination Sponsor Business or Organization:
• Nomination Sponsor Email Address
• Nomination Sponsor Phone Number
• What is the sponsor's relationship to the nominee?
Nomination Support Letter
Please attach up to 3 letters of support
Nomination Support Letter
Nomination Support Letter
Please upload your headshot here
DISCLAIMER:
*Please check the "I agree" box below to understand that if selected for the 5 Under Forty class, any information you include in this application or within reference letters, are released for use in a brief profile used for press releases, during the awards ceremony and online website and social media posts. The Georgetown Rotary will not get approval on the editorial profiles before they are published, so please do not include any information that may be uncomfortable seeing in print.
I agree - Please accept my application for the Georgetown Rotary/Georgetown Chamber of Commerce 5 Under Forty award for 2026. I acknowledge that the attached application contains accurate information, and I am honored to be nominated.

Qualifications

Nominee's Information

Background Information