7/31/2019 Urban Leaders Under 40 Awards Nominations Form
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URBAN LEADERS UNDER 40 AWARDS NOMINATIONS FORM
URBAN LEAGUE OF SAN DIEGO COUNTY URBAN LEADERS UNDER
40OVERVIEW
This years Annual Diversity Summit & Equal Opportunity Day
Awards will include the Urban League of San Diego County Urban
Leader Under 40. The Urban Leader Under 40 program recognizes
the very best and brightest young talent from all the differen
segments of industry and the community from educators,
engineers, attorneys and journalist, sponsors and partners, This
years clas
is expected to be an outstanding group of young men and women
who are at the top of their game and who wield enormous influencein
within their communities and organizations.
Who is eligible?Urban professionals working in the San
Diego-Imperial-Southern
Riverside-Southern Orange Counties will be 40 or younger as
of
October 18, 2012.
What are the criteria?We are looking for a cross section of
people from industries that
are connected to the Urban Leagues five point strategy areas
we
cover
Education and Youth Empowerment, Economic Empowerment, Health
and Quality of Life Empowerment, Civic Engagement and Leadership
Empowerment,
and
Civil Rights and Racial Justice Empowerment who are proven
leaders in their field. In addition, the young
professional must demonstrate leadership through active
participation in an organization or company in San Diego
County;
Shows a commitment to the urban community and involved with
charitable causes; and can provide evidence that he or she
has
positively influenced the urban community.
How do I nominate someone?Simply fill out this form. Be sure to
note the nominees date of
birth.
Whats the deadline for nominations?September 18, 2012, 5
p.m.
Nominations will be reviewed:September 26, 2012
Can I call you to make sure you got my e-mail or will I
receive
a confirmation?We expect to receive hundreds of nominations this
year. Please
resist the urge to make follow-up calls. You may send an
email
[email protected] your written question or concern. A
committee member will be in contact with you.
About the Nominee
First Name: ____________________________________________________
Last Name: _________________________________________Circle One: Dr.
Mr. Mrs. Ms. Miss.
Date of Birth: ______________________________ Title:
_______________________________________________________________
Company or Organization:
___________________________________________________________________________________________
Address:
__________________________________________________________________________________________________________
City: _____________________________________________ State:
_______________ Zip Code: _________________________________
Work Telephone: ____________________________________ Cell
Telephone: _________________________________________________
E-mail:
___________________________________________________________________________________________________________
Industry:
__________________________________________________________________________________________________________
College Attended and Degrees Earned:
__________________________________________________________________________________
_________________________________________________________________________________________________________________
Business Accomplishments (job responsibilities, special
projects, business-related affiliations):
______________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
Civic Leadership (board involvement in the community, state, or
national organizations, included trade associations):
____________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
Achievements, Awards, and Special Recognitions:
_________________________________________________________________________
Family (spouse, children, if applicable):
_________________________________________________________________________________
mailto:[email protected]:[email protected]:[email protected]:[email protected]
7/31/2019 Urban Leaders Under 40 Awards Nominations Form
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In the space provided, why does this person deserve to be an
Urban Leader Under 40 honoree?
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
About the Nominator (if applicable)
Your Name:
_______________________________________________________________________________________________________
Your Daytime phone: ______________________________________ Your
Cell Phone: ___________________________________________
Your E-mail:
______________________________________________________________________________________________________
