40 Under 40 Application - 2025 | United Way Emerald Coast

Workplace Information

Job/Company

Title/Position

Address

City, State, Zip

Supervisor's Name

Supervisor's Title/Position

Supervisor's E-Mail

Please upload your resume.

Upload requirements

Social Media Link(s) or Handle(s)

Personal Facebook

Personal LinkedIn

Personal Instagram

Workplace/Organization Facebook

Workplace/Organization LinkedIn

Workplace/Organization Instagram

Questionnaire

1. Provide a brief overview of your current role and job responsibilities.

2. What organizations, professional groups, and/or community involvement have you participated in? The suggested timeline is within the past 7 years. Please list in bullet format, including dates and any position(s) held.

3. Please list any awards, certifications, and/or recognitions you have received. The suggested timeline is within the past 7 years. Please list in bullet format.

4. Please provide an example of when your innovation, leadership, or decision making positively impacted someone else, your organization, or the community.

5. What do you consider to be your proudest accomplishment so far in your career?

6. What is the best piece of leadership advice that you've ever received, from whom, and how has it impacted your career?

7. Where do you see your career path taking you in the next 5 years?

8. Have you experienced any personal or professional hardships that you have had to overcome? How did that experience define your career path.

9. What has been the most meaningful event or volunteer opportunity outside of work obligations you have participated in? What made that event special to you and your professional development?

Additional Information

The information below will be helpful, and make our celebration extra special, if you are selected as a 40 Under 40 honoree.

Please list your preferred walk up song to play while you accept your award. You may list a backup in the case of duplications.

Please list your T-shirt size.

Please provide the phonetic pronunciation of your preferred first and last name.

** The following will not be taken into consideration when reviewing your application. ** Please share the name and a story of a local mentor over the age of 40 (who lives/works in Okaloosa or Walton counties) that has influenced you and contributed to your success. This will nominate them for the Forever Young Award presented at the 40 Under 40 Awards Celebration.

40 Under 40 Application - 2025

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