Nominee’s Name & Age Position Company/Organization Phone E-mail Please answer each of the following questions about the nominee in 30 words or less. How does the nominee impact the Greater Akron Region? How has the nominee contributed to the growth/success of his/her company/organization? Required: Please attach nominee’s résumé and any other supporting information, e.g. newspaper/magazine articles, etc. CATEGORIES ARTS/ENTERTAINMENT BUSINESS SERVICES CORPORATE EDUCATION ENTREPRENEURSHIP ENVIRONMENT FINANCE HEALTHCARE HOSPITALITY/TOURISM LAW MARKETING/COMMUNICATIONS MANUFACTURING/INDUSTRY NON-PROFIT RETAIL SOCIAL SERVICE TECHNOLOGY The Greater Akron Chamber and LPC Publishing proudly present the 4th Annual 30 for the Future recognition event. This event recognizes thirty Young Professionals (ages 25-39) who live and/or work in the Greater Akron Region, who are trendsetters in their industries and who make an impact on the region through leadership, entrepreneurship, or community service. Nominations will be accepted through Tuesday, March 16, 2010. Once we receive the nominations, the field will be narrowed to 45 finalists, each of whom will be required to complete the 30 for the Future Leadership Document. This document addresses specific ques- tions concerning the nominees’ skills in leadership, teambuilding, and creative problem-solving as well as his/her community contributions. The 2010 30 for the Future award recipients will be honored at a gala celebration. To nominate an individual for this award, please complete this form and submit it, along with the nominee’s current résumé or bio, and return it by Tuesday, March 16, 2010 via: • E-mail to: walmsley@greaterakronchamber.org • Fax to: (330) 379-3164 • Mail to: Jeff Walmsley Greater Akron Chamber One Cascade Plaza, 17th Floor Akron, OH 44308-1192 2010 Nomination Form Your Name Company Phone E-mail Relationship to Nominee Founding Sponsor:Presented by: and 01/25/10