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.