2021 Forty Under 40 Nomination

Nomination Process

Nominee must be under 40 on the day of the awards event (July 22, 2021)

Please note that the number of nominations submitted per nominee does not matter, it is better to submit a letter of recommendation with the application.

PBN will send a confirmation email to your nominee informing them of their nomination to 40 Under Forty Program, a link to the online application process, and the deadlines/rules.

The deadline for nominations is Wednesday, May 5th, 2021. This will allow the nominee enough time to complete the application by the May 12 application deadline.

Questions, email events@pbn.com or call (401) 680-4818

1. Nominee Information : *This question is required.

First Name
Last Name
Company Name
Title/Position
Company Street Address
Company City
Company State
Company Zip
Daytime Phone or Cell
Email Address
DOB/ AGE

2. Nominator Information : *This question is required.

First Name
Last Name
Company Name
Position/Title
Company Street Address
Company City
Company State
Company Zip
Daytime Phone or Cell
Email Address

2021 Forty Under 40 Nomination

Nomination Information