30 Under 30 2018 Nomination Form

Entry deadline Dec 9, 2017

Thank you for submitting your nomination. Due to the high volume of submissions, we will only contact the 30 Under 30 finalists.

We have extended our deadline for submissions: December 8, 2017

Note: To be eligible for the 30 Under 30, you must be 29 or younger on April 1, 2018.


* Nominee's Full Name:
* Nominee's email:
* Nominee's phone:
* Nominee's city of primary residence:
* Nominee's birthdate (DD/MM/YYYY):
* Nominee's age on April 1, 2018:
* Postsecondary education history/credentials, including field(s) of study, graduation years(s) and name of institution(s):
* Full business name of current workplace:
* Workplace headquarters location:
* Current job title:
* Year you started this role:
* Personal social media channels:
* Please upload a hi-res head shot.
* Please describe your business model. (maximum 250 words)
* What impact have you made on your company or industry? Please provide numbers/examples showing growth and impact: increase in employees, revenue, profit or units sold, completion of major initiatives, etc. (maximum 250 words)
* What specific innovations or disruptions have you made in your industry? (maximum 250 words)
* What is your three-year plan? Your five-year plan? (maximum 250 words)
* What makes your entrepreneurial/professional journey unique? (maximum 250 words)
* Please describe your company culture and explain how you have made an impact on it. (maximum 250 words)
* Please provide names, phone numbers and email address for: 1) A mentor. 2) An industry member from outside your company. 3) An investor in your business (if applicable).
* Please describe your community contributions, including annual time and/or financial commitment to each. (Do not include industry associations; we will ask you about that separately.) (maximum 250 words)
* Please describe any business association affiliations or contributions you make, including annual time commitment if you volunteer. (maximum 250 words)
* Please list any speaking engagements, papers published, and honours and awards for career or community work. (maximum 250 words)
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