"40 Under 40" Candidate Nomination Form
Deadline to Nominate a Candidate is October 21, 2016.   Email Steve Rukavina  sjrukavina@gmail.com  with questions/problems submitting this form.

 Your Address:    
 Your Email Address:    Your Phone Number:  
 Your City:     Your State:    Your Zip: 

 Candidate's Address:  
 Candidate's Email Address:  Candidate's Phone Number:  
 Candidate's City:      State:     Zip: 

 Did you Verify that Your Nominee will Not turn 40 Years Old in 2017?   Yes    No    

  How do You Know the Candidate?


  What Croatian American Group(s) are You Involved with?


 Is the Candidate Involved with any Croatian American Group(s)?

Please share with us the Candidates Career Success or Accomplishments;
and/or tell us how the Candidate is as a Role Model and Leader.
How does the Candidate Shine and Energize the Millennial Generation?


Tell NFCA about Candidates Other Qualities, Background, Education and Special Projects:

Save All Information Before Submitting the Form. Emailing the form should be done
from a Home Computer. After You Press the "Submit" Button you can attach files and
photos to the email. Or answer questions on a MS Word file.