40 Under Forty Awardee Profile Form

Please complete the Awardee Profile form below. The following image is an example of what your finished profile may look like in the Berkshire Eagle special section.

Profiles are not complete until they adhere to set character limits as detailed below. For help with character counts we recommend the following tool https://www.lettercount.com.

If you do not wish to answer a question please put “NA” in that field.

Profile Example

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Jennifer Larkin
Assistant to the Office for Institutional Advancement

Email: jlarkin@berkshirecc.edu
Phone: 413–236–2185

Awardee Profile Form

If you see this don't fill out this input box.

*Nominee's Name

*Nominee's Company

*Nominee's Title

*Nominee's Address

Nominee's City

Nominee's State

*Nominee's Zip

*Nominee's Phone

*Nominee's Date of Birth

*Nominee's Email

*Your Name

*Company

*Your Title

*Your Address

*City

State

*Zip

*Phone

*Email

*Provide a brief description of the nominee's accomplishments and community service. (max 500 words)

*Provide a few words that best describe the nominee. (max 60 words)

*How long have your known the nominee and what is your relationship?

Berkshire Community College reserves the rights to edit form entries for length, accuracy, or content/context.

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40 Under Forty Awardee Profile Form

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Awardee Profile Form

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