30 Leaders in their Thirties Nomination Form

NCI Salutes 30 Leaders in their Thirties recognizes North County leaders who are making a significant positive impact on our community through their profession and/or community involvement.

 

Consider nominating an up-and-coming professional at your company, a successful entrepreneur, a volunteer whose outstanding leadership skills are being used for the betterment of a charity, municipality or other organization. A young professional who is proactively helping create a more livable community. Those chosen will be recognized at our NCI Salutes 30 Leaders in their Thirties Reception on Tuesday, Oct. 31, 2017 at 11:30 a.m. – 2:00 p.m. at Christian Hospital, Detrick Building.

 

To nominate a deserving candidate, complete and return the following information (nominee must be in their thirties):

 

Deadline for submission is September 1, 2017.

 

    NOMINATION FORM
    PLEASE FILL OUT THE FOLLOWING INFORMATION ABOUT YOURSELF:
    NAME*:

    EMAIL*:

    PHONE:

    ADDRESS:

    PLEASE FILL OUT THE FOLLOWING INFORMATION ABOUT THE PERSON YOU ARE NOMINATING:
    NAME:
    EMPLOYED BY:

    AGE:
    EMAIL:

    PHONE:

    ADDRESS:

    DESCRIPTION OF NOMINEE'S CONTRIBUTION
    Please send bio and any necessary attachments to nci@northcountyinc.com
    :


     

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    North County Incorporated

    8225 Florissant Rd., Suite 11
    St. Louis, MO 63121
    phone: (314) 895-6241
    email: nci@northcountyinc.com

     

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