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Call for Nominations

Let us know who you think belongs on the 2013 list of Innovators Under 35. All nominations remain confidential. We will contact the nominee directly to participate in our selection process.

If you have questions about filling out this form or about the nomination process, please review our frequently asked questions.

Deadline is March 31, 2013.

About the Nominee

*First name:
*Last name:
Age:
(must be under 35
as of 10/1/13*)
Phone:
Address:
City:
State/Province:
Postal Code:
Country:
E-mail:
Website:
*Technical area
of the nominee's work:
*Affiliation(s):
(1 required)

Reference #1
Name:
E-mail:
Phone:
Reference #2
Name:
E-mail:
Phone:
Reference #3
Name:
E-mail:
Phone:

Describe the Nominee
Describe why you think this person deserves recognition as a top young innovator. (Include a brief description of his or her principal achievements.)

About You (Nominator)
First name:
Last name:
E-mail:
Phone:
Relationship to Nominee:
If you see this, leave this form field blank.


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