Young Global Leaders Nomination Form

The deadline to submit nominations for the class of 2013 is June 30 2012.

Selection Criteria

The Young Global Leaders must meet the following criteria:

  • be under 40 years of age (to be eligible for the selection and nomination process of the Class of 2013, candidates must have been born on or after 1 January 1973)
  • be in a leadership position
  • have a track record in public service oriented activities or have shown a commitment to enhancing the public good
  • Self nominations are not accepted
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! - Max 400 words):*
Organization profile (< or > signs are not authorized! - Max 100 words):
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! - Max 200 words)*
Please describe the candidate's commitment to serve society at large (< or > signs are not authorized! - Max 200 words)*
Add supporting documents
Candidate's updated CV (.doc|.rtf|.txt|.zip)*
Candidate's recent photo (.jpg|.jpeg|.gif|.zip)
Any other supporting documents (.zip)

Please make sure to limit the total size of your supporting documents to 10MB max.

Should you like to submit more than one document per field, please zip the documents beforehand.

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.

Should you encounter a problem, send an email to webmaster@weforum.org.
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