Twenty Under 40 Nominee Form

Complete the Official YPN Twenty Under 40 Nominee Form Below

Please complete the following to formally be submitted as a Twenty Under 40 Nominee.  Should you encounter any issues with this form, please email or call (775) 237-8855.  Tip:  Save your answers in a Word document as you complete the form.

Nominee Form - Twenty Under 40

Tell Us About Yourself

Please provide information about yourself (the nominee). Disclaimer: You will be ineligible to win if you have won in the past or are older than 40 years of age come December 31, 2022.
*Used for Tagging via YPN Twenty Under 40 Social Media Announcements

Contributions to profession and community.

The panel of judges will focus their attention on your answers to the following. Please write your answers in 3rd person and feel free to structure it in the form of bullet points to share the most information (there is a 1,000 maximum character limit).
Max 1000 Characters
Max 1000 Characters
Max 1000 Characters
Maximum upload size: 5MB
Maximum upload size: 5MB
If you experience issues while uploading your resume and headshot please email the files separately to
Max 1000 Characters

Thank you for submitting this information.

Our committee will reach out to you in the coming weeks with the next steps.