Livingstone College Forty  Under 40        Nomination Form-2023 Gamma Cohort 
If you have any questions please email: LC40under40@gmail.com
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Nominator's Full Name  *
Nominator's Email Address *
Nominee's Full Name  *
Nominee's Email Address *
Nominee's Phone Number *
Nominee's Graduating Class Year *
Forty under 40 category  *
Reason for nomination *
Will the nominee be under 40 on October 19, 2023 *
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