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Submitted URL: https://t.e2ma.net/click/toai9f/dobys3/xfannae
Effective URL: https://afasignup.formstack.com/forms/2022_40_under_40_nomination_form
Submission: On May 31 via api from US — Scanned from DE
Effective URL: https://afasignup.formstack.com/forms/2022_40_under_40_nomination_form
Submission: On May 31 via api from US — Scanned from DE
Form analysis 1 forms found in the DOM
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<p><span style="font-size: 18px;">Please be mindful and consider the following about an individual <span style="font-size: 18px;">when making a nomination</span>:</span></p>
<p style="text-align: center;"><img src="https://s3.amazonaws.com/files.formstack.com/public/628215/image_Copyof40Under40RequirementsandBenefits6.png" style="width: 509px; height: 778.256px;" class="fr-fic fr-dib"></p>
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<p style="text-align: center;"><br></p>
<p style="text-align: center;"><br></p>
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<span id="label123146766" class="fsLabel fsRequiredLabel">Nominee:<span class="fsRequiredMarker">*</span></span>
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<div id="fsSupporting123146768" class="fsSupporting">*Is your nominee's industry not listed? That's OK, nominate them anyway! We will consider all young professional nominations regardless of industry, as long as they meet all
additional requirements.</div>
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<legend id="fsLegend123146771" class="fsLabel fsRequiredLabel fsLabelVertical"><span>Is the person you are nominating under 40?<span class="fsRequiredMarker">*</span></span></legend>
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<div id="fsSupporting123146771" class="fsSupporting">*Nominees must be under the age of 40 at any point in 2022</div>
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<label id="label123146772" class="fsLabel fsRequiredLabel" for="field123146772">Please tell us about your nominee and their qualifications:<span class="fsRequiredMarker">*</span> </label>
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<p style="text-align: center;"><span style="font-size: 24px;"><u><span style="font-family: Verdana, Geneva, sans-serif;"><strong>Important Dates and Information:</strong></span></u></span></p>
<p style="text-align: center;"><span style="font-family: Verdana,Geneva,sans-serif;"><span style="font-size: 24px;"><br></span></span></p>
<p style="text-align: center;"><span style="font-family: Verdana,Geneva,sans-serif;"><span style="font-size: 24px;">*Nomination Submission Deadline - <strong>M</strong><strong>ay 6, 2022</strong></span></span></p>
<p style="text-align: center;"><span style="font-size: 24px;"><span style="font-family: Verdana,Geneva,sans-serif;">**Selected Honorees will be notified </span></span><br><span style="font-size: 24px;"><span
style="font-family: Verdana,Geneva,sans-serif;">no later than <strong>June 30</strong></span><strong><span style="font-family: Verdana,Geneva,sans-serif;"><strong>, </strong>2022</span></strong></span></p>
<p style="text-align: center;"><br></p>
<p><strong>A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE (800-435-7352) WITHIN THE STATE. FLORIDA REGISTRATION NUMBER (#CH956); REGISTRATION DOES
NOT IMPLY ENDORSEMENT, APPROVAL OR RECOMMENDATION BY THE STATE.</strong></p>
<p>The Cystic Fibrosis Foundation, a 501(c)(3) nonprofit organization, has unrestricted financial reserves of about 12 times its budgeted 2021 expenses. These reserves are a result of the Foundation’s successful venture philanthropy model,
through which we have raised and invested hundreds of millions of dollars to help discover and develop breakthrough CF therapies. With this model, we have received and may receive milestone-based payments, equity interests, royalties on
the net sales of therapies, and/or other forms of consideration. These funds and any future revenue from our model are reinvested into the CF Foundation’s mission to cure cystic fibrosis and to provide all people with CF the opportunity
to lead long, fulfilling lives. To obtain a copy of our latest Annual Report, visit <u>https://www.cff.org/About-Us/Reports-and-</u>
<u>Financials/</u>, email <u>info@cff.org</u> or call 1-800-FIGHT-CF.
</p>
<p><strong>IMPORTANT NOTE ON ATTENDANCE AT FOUNDATION EVENTS:</strong></p>
<p><strong>To reduce the risk of COVID-19 the Foundation is taking steps to host safe events for our community. Please be advised that events may be subject to change at any time based on guidance from the Centers for Disease Control and
Prevention and local health officials.</strong></p>
<p>To help minimize the risk of COVID-19, we ask that attendees at CF Foundation events follow these steps:</p>
<ul type="disc">
<li>Where mandated, practice physical distancing and maintain at least a safe 6-foot distance from persons outside of their household.</li>
<li>Face masks are encouraged and should be worn in accordance with local guidelines. (Note, children under two years of age should not wear masks due to safety concerns and therefore should only attend outdoor CF Foundation events where
they are able to distance and stay within their family group.)</li>
<li>Follow basic infection, prevention and control practices by regularly washing hands with soap and water or with an alcohol-based hand gel, and by covering your cough or sneeze with a tissue or your inner elbow.</li>
<li>Persons with CF should consult their physician before participation in any in-person event as they may be at an increased risk for severe illness from COVID-19.</li>
<li>For indoor events, it is CFF policy to invite only one person with CF to be in-person at the event at a time. For outdoor events, people with CF should maintain a safe 6-foot distance from persons outside of their household at all
times.</li>
</ul>
<p><strong>FOR YOUR SAFETY AND THE SAFETY OF OTHERS:</strong></p>
<ul type="disc">
<li>For the health and well-being of the CF community, we strongly encourage that participants be fully vaccinated and have received the CDC recommended booster shot when joining us in-person for the event.</li>
<li>Please be advised certain localities and venues may require you to be fully vaccinated and show proof of vaccination. We will communicate these requirements in event communications.</li>
<li>We are counting on the fact that you appreciate the potential consequences of exposing members of the CF community to COVID-19 and will not attend an event if you are feeling ill or have been recently exposed to COVID-19.</li>
<li>We cannot guarantee that all people in attendance at the event, including participants, sponsors, volunteers, vendors, or others, have been fully vaccinated.</li>
</ul>
<p style="text-align: center;"><br></p>
<p style="text-align: center;"><span style="font-size: 24px;"><strong><span style="font-family: Verdana,Geneva,sans-serif;"><img src="https://s3.amazonaws.com/files.formstack.com/public/628215/image_CFF_LogoR_4cp.png"
style="width: 240px; height: 125.825px;" class="fr-fic fr-dib"></span></strong></span><br></p>
<p style="text-align: center;"><br></p>
<p style="text-align: center;"><br></p>
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Please fill in a valid value for all required fields Please ensure all values are in a proper format. Are you sure you want to leave this form and resume later? Are you sure you want to leave this form and resume later? If so, please enter a password below to securely save your form. Save and Resume Later Save and get link You must upload one of the following file types for the selected field: There was an error displaying the form. Please copy and paste the embed code again. Apply Discount You saved with code Submit Form Submitting Validating There was an error initializing the payment processor on this form. Please contact the form owner to correct this issue. Please check the field: Fields Contact Information (nominator): * First Name* Last Name* Company (nominator): * Email (nominator): * Phone (nominator): * Please be mindful and consider the following about an individual when making a nomination: Nominee:* First Name* Last Name* Company (nominee): * Which industry aligns with the nominee's profession?** Legal Real Estate Accounting/Finance Healthcare Technology Business Other: Other Value *Is your nominee's industry not listed? That's OK, nominate them anyway! We will consider all young professional nominations regardless of industry, as long as they meet all additional requirements. Email (nominee): * Phone (nominee): * Is the person you are nominating under 40?* Yes No *Nominees must be under the age of 40 at any point in 2022 Please tell us about your nominee and their qualifications:* Important Dates and Information: *Nomination Submission Deadline - May 6, 2022 **Selected Honorees will be notified no later than June 30, 2022 A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE (800-435-7352) WITHIN THE STATE. FLORIDA REGISTRATION NUMBER (#CH956); REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL OR RECOMMENDATION BY THE STATE. The Cystic Fibrosis Foundation, a 501(c)(3) nonprofit organization, has unrestricted financial reserves of about 12 times its budgeted 2021 expenses. These reserves are a result of the Foundation’s successful venture philanthropy model, through which we have raised and invested hundreds of millions of dollars to help discover and develop breakthrough CF therapies. With this model, we have received and may receive milestone-based payments, equity interests, royalties on the net sales of therapies, and/or other forms of consideration. These funds and any future revenue from our model are reinvested into the CF Foundation’s mission to cure cystic fibrosis and to provide all people with CF the opportunity to lead long, fulfilling lives. To obtain a copy of our latest Annual Report, visit https://www.cff.org/About-Us/Reports-and- Financials/, email info@cff.org or call 1-800-FIGHT-CF. IMPORTANT NOTE ON ATTENDANCE AT FOUNDATION EVENTS: To reduce the risk of COVID-19 the Foundation is taking steps to host safe events for our community. Please be advised that events may be subject to change at any time based on guidance from the Centers for Disease Control and Prevention and local health officials. To help minimize the risk of COVID-19, we ask that attendees at CF Foundation events follow these steps: * Where mandated, practice physical distancing and maintain at least a safe 6-foot distance from persons outside of their household. * Face masks are encouraged and should be worn in accordance with local guidelines. (Note, children under two years of age should not wear masks due to safety concerns and therefore should only attend outdoor CF Foundation events where they are able to distance and stay within their family group.) * Follow basic infection, prevention and control practices by regularly washing hands with soap and water or with an alcohol-based hand gel, and by covering your cough or sneeze with a tissue or your inner elbow. * Persons with CF should consult their physician before participation in any in-person event as they may be at an increased risk for severe illness from COVID-19. * For indoor events, it is CFF policy to invite only one person with CF to be in-person at the event at a time. For outdoor events, people with CF should maintain a safe 6-foot distance from persons outside of their household at all times. FOR YOUR SAFETY AND THE SAFETY OF OTHERS: * For the health and well-being of the CF community, we strongly encourage that participants be fully vaccinated and have received the CDC recommended booster shot when joining us in-person for the event. * Please be advised certain localities and venues may require you to be fully vaccinated and show proof of vaccination. We will communicate these requirements in event communications. * We are counting on the fact that you appreciate the potential consequences of exposing members of the CF community to COVID-19 and will not attend an event if you are feeling ill or have been recently exposed to COVID-19. * We cannot guarantee that all people in attendance at the event, including participants, sponsors, volunteers, vendors, or others, have been fully vaccinated. Previous← Next→ Powered by Formstack Create your own form › Enter your save and resume password Cancel Confirm