Finest Under 40 Nomination Acceptance Form

Please use this form to accept your nomination for one of Uplift LA's Finest Under 40 Awards.

Congratulations! Please use this form to accept or decline your nomination for one of Uplift LA’s Finest Under 40 Awards. For more information, please visit the Finest Under 40 Program FAQs . As the program progresses, the committee will be reviewing all nominations and nomination acceptances and will reach out to all community members who are confirmed for this year's Finest Under 40 Program.
Name*
First Last
Date of Birth*
Uplift LA’s Finest Under 40 Awards are geared towards recognizing rising professionals that are working towards the betterment of the Lewiston Auburn Metropolitan Area. While there is no minimum age, honorees must be under the age of 40 years old as of December 31st of the program year.
Month
Day
Year
Primary Phone Number*
Primary Email Address*
Secondary Email Address
Primary Employer*
Primary Occupation/Job Title*
Secondary Employer
Secondary Occupation / Job Title
Nomination Acceptance*
Do you accept the nomination for one of Uplift LA's Finest Under Awards?
- Yes, I accept the nomination
- No, I kindly decline the nomination
Nomination Factual Details Modification
In your nomination acceptance email, at the bottom was the write up you received from your nominator. Please provide in the space below any factual details that need to be changed, if applicable. For example, correction in name, organization, dates, etc.
Website / Social Media Link(s)
If you'd like to share which social media platforms you engage in and are comfortable with us do so, we will tag you in any post that might be related to your nomination!
Photo Upload
Please upload a photo for your nominee bio excerpt that will be displayed on our website. Ideal photos would be a head shot or a photo of only yourself.
Max. file size: 128 MB.
Consent
- I consent and agree to receiving periodic emails from Uplift LA and its affiliates of the Lewiston Auburn Metropolitan Chamber of Commerce in regards to its events, programming and advocacy. I understand that I can withdraw my consent at any time by unchecking this box or by contacting us directly via online, email or telephone.
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Primary Category
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Secondary Category
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Finest Under 40 Nomination Acceptance Form

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