EmailMeForm
2025 NextGen Under30 Application Kansas
Candidate Number
*
This number can be found in the announcement email you received when you were nominated. For example, 20250123
Your Name
*
Prefix
First
Last
Suffix
Work Phone Number
*
###
-
###
-
####
Mobile Phone Number
*
###
-
###
-
####
Primary Email
*
Confirm
Backup Email
Confirm
Sex
*
M
F
Date of Birth
*
MM
/
DD
/
YYYY
You must be 30 anytime in 2025 or younger to compete.
Name of Company
*
Title or Role
*
Company website
Department
Home Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Highest educational level
*
At what school
*
Personal social media and hashtags
Company social media and hashtags
Business Hashtags
LinkedIn profile
Category
*
01 - Adult and Higher Education
02 - Advanced Manufacturing
03 - Agriculture & Food Production
04 - Animal Health
05 - The Arts
06 - Aviation
07 - BioTech & AgTech
08 - Distribution & Logistics
09 - Education K-12
10 - Finance & Banking
11 - Health Care
12 - Hospitality
13 - The Law
14 - Manufacturing & Industry
15 - Media and Public Relations
16 - Military
17 - Non-Profit Organization
18 - Oil, Gas & Energy
19 - Policy & Public Service
20 - Real Estate, Development & Services
21 - Retail & E-Commerce
22 - Science, Technology, and Engineering
23 - Sports & Outdoors
24 - Staffing
25 - The Trades & Construction
26 - Tourism
27 - Other
Please select the category in which you would like to compete.
Upload headshot image
(PNG or JPG)
Awards or honors you would like to add
Describe your accomplishments
*
Please tell the judges about yourself, your support of your community, and why you are a great choice for a NextGen Under 30 award.
Unique ID
Thank you for your application!
