Benedict College “Forty Under 40” Nomination Application

Make sure your nominee...

Step 1 of 3

Type of Nomination (Select One)

Nomination of a

Colleague

Friend

Fellow alumnus

Family member

Nominee Information

Name of Nominee(Required)

First Last

Nominee's Home Address

Street Address Address Line 2 City State ZIP Code

Nominee's Email(Required)

Enter Email Confirm Email

Nominee's Mobile Number(Required)

Please list nominee's social media handles.

X (Formally Twitter)

Facebook

SnapChat

Instagram

TikTok

Nominee's Date of Birth(Required)

Nominee's Current Title

Nominee's Current Employer

Nominee's Benedict College Class Year(Required)

Is the nominee an existing financial contributor?(Required)

Yes

Is the nominee a member of the Benedict College National Alumni Association?(Required)

Yes

If yes, please list the Alumni Club.(Required)

Nominator Information

Name of Nominator(Required)

First Last

Nominator Home Address

Street Address Address Line 2 City State ZIP Code

Nominator Email(Required)

Enter Email Confirm Email

Nominator Mobile Number(Required)

CAPTCHA

Benedict College “Forty Under 40” Nomination Application

Make sure your nominee...

Type of Nomination (Select One)

Nominee Information

Tell Us About the Nominee

Additional Information

Attachments

Nominator Information

Benedict College “Forty Under 40” Nomination Application

Make sure your nominee...

Type of Nomination (Select One)

Nominee Information

Tell Us About the Nominee

Additional Information

Attachments

Nominator Information

Start typing and press enter to search