Candidate NominationForm

Supporting Data:

Please explain why the nominee should be considered for a Four Under Forty Award. Explain how the nominee made it to the top and the obstacles, twists and turns he or she overcame on the way tosuccess. The more compelling the story, the better. Also indicate if the nominee is a member of MDRT or any other industry association, and describe any industry and civic honors received.

Three Ways to Nominate

1. Mailthisform,alongwiththesupportingdata,to: Advisor Today’s Four Under Forty 2901 Telestar Court Falls Church, VA 22042

2. Fax it to: “Four Under Forty”at 703-770-8471.

3. Email this completed form toamseka@naifa.org.

Entries emailed or faxed must be received no later than April 7, 2017. Mailed entries must be postmarked by April 7, 2017. Nominations not received or postmarked by April 7, 2017,will be discarded.

For more information, contact Ayo Mseka at 703-770-8204 or at amseka@naifa.org.

By Frank C. Bearden, Ph.D., CLU, ChFC