2021 Millennial + GenZ Nominations

Nomination Requirements:
Living and/or working in Fairfield or Westchester counties
Born between 1981 – 2000
Candidate must not have won the competition previously

**Please spell check to ensure ALL fields below are correct. This info will be used in book and to contact winners.

Candidate's name:*

First Name

Last Name

Candidate's title:*

Candidate's company name:*

Candidate's company address:*

Address Line 1

Address Line 2

City

State

ZIP Code

Candidate's phone number:*

Candidate's email address:*

Candidate's age & date of brith mm/dd/yyyy*

List other:

How does your Millennial nominee represent the new generation?*

What qualities make your Millennial nominee unique?*

Describe nominee’s passions, interests and involvement.*

Describe the impact your nominee has made within his or her community.*

Nominated by:*

First Name

Last Name

Nominator's email address:*

Nominator's phone number:*

Nominator company:*

Relation to nominee:*

For event and sponsorship information, contact Fatime Muriqi