Forty Under 40 Application - Virginia Business

VBM Forty Under 40 Application

To be considered for Virginia Business's Forty Under 40 Awards, each nominee must complete the application below.

We're grateful for the time you're taking to celebrate someone's hard work and contributions to our community.

Eligibility:

Employed in Virginia
Must be 39 or younger as of May 1, 2027
Demonstrates significant professional accomplishment in their category, along with strong civic commitment
May be nominated by themselves or another person

A quick note: information shared in this application may be published in the Forty Under 40 awards issue of Virginia Business magazine and online. If there's anything in your answers you'd rather keep private, just let us know clearly in your application.

Name of Applicant*
First Last
If you’d like to include your middle name, please include it in the first name block.
Phonetic spelling of your name (for announcing on stage during awards ceremony)*
For example: “Jay-Cubs” for “Jacobs.”
Preferred Email Address*
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Date of birth*
This information is for internal verification only and won’t be published.
This field is hidden when viewing the form
Facebook Profile URL (e.g. http://www.facebook/johndoe)
LinkedIn Profile URL (e.g. http://www.linkedin.com/profileview?id=1234567)
Please upload a headshot. (This may be used in the awards ceremony or publication.)*
Max. file size: 10 MB.

Email [email protected] with any issues.
Position Title*
Company/Affiliation*
Company Product/Service Description*
Number of employees within the company*
Number of employees you supervise*
Education: List most recent first and include Degree, Institution and Year Graduated*
Career History: List most recent and include Start and End Year, Company and Title*
Corporate Board Seats Held: List most recent first and include Year and Corporation*
Officer/board membership in professional organizations: (Include volunteer and career-related organizations) Limit to past 10 years, list most recent first and include Year, Position Held and Organization*
Awards/Honors: What awards/honors have you been most proud to receive? List most recent first and include Year, Award/Honor Name and Awarding Institution*
Professional Accomplishment: What do you consider your most significant professional accomplishment to be?*
What is the key to your success? Is there a specific trait, philosophy or ethic that inspires you?*
Community Service: Please tell us how you give back to the community.*
Impact of Achievements: How have your achievements made a positive difference in your profession, your community, or in society at large?*
Career Support: Who has made a significant impact on your career?*
Summarize in two sentences what you do for a living and what makes you stand out from your peers.*
Surprising fact: What would people be surprised to learn about you?*
Where do you see yourself in 10 years?
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