Phase One- 20 Under 40 Nomination Form - San Angelo Chamber of Commerce

Phase One- 20 Under 40 Nomination Form

Important Notes for Nominators:

Participants are selected using a blind point-based scoring system, so complete and thoughtful answers matter. Incomplete submissions may result in a lower score.
We highly recommend reviewing and completing this form in collaboration with the nominee to ensure accuracy and depth.
Responses should be specific and fact-based. The more complete your answers, the more likely your nominee is to receive maximum points per section.

Instructions:

This is a two-phase nomination process:

Phase One (this form): Submitted by a nominator. This initial form is used to confirm eligibility and provide an overview of the nominee’s accomplishments.
Phase Two: If selected to advance, the nominee will complete a more detailed application for final review by the selection committee.

If you are unsure about specific details, you may select “I don’t know.” However, please note that incomplete responses or answers marked as “I don’t know” may receive lower scores.

Phase One of nominations are due by June 1, 2025.

Fields marked with an * are required.

Nominator Information
Please provide the following information about yourself.

Your First Name *

Your Last Name *

Your Phone Number *

Your Email Address *

Relation to Nominee *

(e.g. supervisor, colleague, friend, sister, etc.)

Nominee Information
Please provide the following information about the person you are nominating for this award.

First Name *

Last Name *

Job Title *

Employer/Organization *

Company, Business or Organization Name

Email Address *

Phone Number *

Eligibility Questions

Date of Birth *

Use MM/DD/YYYY format. Nominee must be under the age of 40 as of October 23, 2025.

Residency Requirement *

Does the nominee currently live or work in the Concho Valley region?

Yes

No

Previous Honoree Status *

Has the nominee ever been recognized as a 20 Under 40 honoree in San Angelo?

Yes

No

I don't know

Code of Conduct *

To your knowledge, has the nominee ever been convicted of a felony or involved in professional/ethical misconduct?

Yes

No

I don't know

If yes, please explain:

Nominee Snapshot

What industry does the nominee work in? *

(e.g., education, banking, healthcare, nonprofit, etc.)

What is one word or phrase you’d use to describe this nominee? *

Professional & Community Engagement

Leadership & Impact *

Has the nominee held a leadership role in their organization or community?

Yes

No

I don't know

If yes...

Briefly list any known leadership roles (organizations and titles recommended).

Explain the nominee’s role and the specific actions they took, highlighting their skills or leadership. Explain the broader significance—how their actions contributed to a larger goal, solved a problem, or made a meaningful difference.

Industry Recognition *

Has the nominee received any notable awards or achievements in their industry or community?

Yes

No

I don't know

If yes...

Briefly outline what recognition was received, what organization it was awarded through, and highlight the skills, innovation, or leadership that set them apart.

Explain how the nominee’s contributions addressed a critical need, advanced the field, or set a new standard.

Community Involvement *

Has the nominee participated in any boards, committees, or volunteer organizations?

Yes

No

I don't know

If yes...

Briefly explain what the nominee did and what organizations they were involved in.

Include any leadership, initiatives, or hands-on involvement that made a difference. Explain how their efforts addressed a need, supported a mission, or left a lasting positive impact.

Career Growth *

Has the nominee achieved any major career milestones or advancements in the last five years?

Yes

No

I don't know

If yes...

Briefly outline key steps the nominee took to advance their career—such as acquiring new skills, earning promotions, or taking on greater responsibility, including which organizations were involved.

Explain how their progress reflects dedication, resilience, or serves as an inspiration to others in their field.

Overall Recommendation

Why do you believe this nominee deserves to be recognized as one of San Angelo’s 20 Under 40? *

(Max 100 words — keep it short and impactful)

I have informed the nominee that I am submitting this nomination. *

Yes

No