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Nominations are open until May 17!

Fill out the form below to nominate a young family planning leader for 120 Under 40. Asterisks (*) indicate required fields.

Once the nomination form has been submitted, your nominee will receive an email announcing his/her nomination and will be asked to fill out a profile, which will be posted to the 120 Under 40 website. Please encourage your nominee to upload a photo and complete his/her profile, as incomplete profiles will be removed from the site before voting begins.

Eligibility: Nominees must be 40 or younger by December 31, 2017, and must have made significant contributions to family planning in one of the following categories:

  • Advocacy
  • Programming/Program Implementation
  • Research
  • Sevice Delivery
  • Demand Generation
  • Policy/Government
  • Media

If you wish to make more than one nomination, please complete a new form each time.

Please note:

  • No self-nominations will be accepted.
  • Staff of the Gates Institute are not eligible to be nominated. 
  • 2016 nominees are eligible to be re-nominated for 2017. 2016 winners are not eligible for future rounds.

Thank you!

Nominee
Tell us about yourself!
Nominator: Check this box if you would like to remain anonymous. Otherwise, your name will be displayed.

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