1,000 Young Leaders Nomination Form
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Relationship to Nominee(s)
Have you spoken with the nominee(s) about 1,000 Young Leaders?
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Nominee's Details
First Name
Last Name
Mobile Phone
Email
Gender
Female
Male
Approximate Age Range
20-25
26-30
31-36
1000 Young Leaders is specifically designed for everyday leaders between the ages of 20-36.
Occupation of Nominee
These leaders are trade workers, students, entrepreneurs, artists, urban inventors, nurses, baristas, or something in between.
Where does the nominee live?
Include city and state. Example: Nashville, TN
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