Young Global Leaders Nomination Form
Selection Criteria

The Young Global Leaders must meet the following criteria:

  • be under 40 years of age (to be eligible for the 2007 nomination process the candidates must have been born on or after 1 January 1967)
  • be in a leadership position
  • have a track record in public service oriented activities or have shown a commitment to enhancing the public good
Nominator
First Name:*Last Name:*
Title:*
Position:*Organization:*
Street Address:*PO Box:
Street (2):Mail Code:*
Street (3):City:*
State:Country:*
Gender:*
Date of Birth (yyyy/mm/dd):*
Telephone:*Fax:
E-mail:*Nationality:*
Young Global Leader Candidate
First Name:*Last Name:*
Title:*
Position:*Organization:*
Profile (Biography) (< or > signs are not authorized!):*
Street Address:*Street (2):
Street (3):PO Box:
Mail Code:*City:*
State:Country:*
Gender:*
Date of Birth (yyyy/mm/dd):*
Telephone:*Fax:
E-mail:*Nationality:
Comments
Please explain briefly why you support the nomination of this candidate (< or > signs are not authorized!)*
Please describe the candidate's commitment to serve society at large (< or > signs are not authorized!)*
Add supporting documents
Candidate's updated CV (.doc|.rtf|.txt|.zip)*
Candidate's recent photo (.jpg|.jpeg|.gif|.zip)
Any other supporting documents (.zip)

Once you click on the Submit button you will not be able to return to this page. We therefore highly recommend that you print a copy of this page for your records.

Please note that your nomination is only successful if you are directed to the Confirmation of Submission screen.
The Forum of Young Global Leaders Copyright © 2006 All rights reserved