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Women of the Year Nomination Form

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Every March, my office recognizes Women’s History Month by holding our annual Women of the Year celebration and honoring extraordinary women across the 28th Assembly District for their service and leadership within our communities.

I invite you to nominate a woman who lives, works, or attends school in the 28th Assembly District in Santa Clara and Santa Cruz counties and whom you believe has made a significant contribution over the past year. We will select an honoree as our Women of the Year, and they will be recognized at the State Capitol sometime in March.

FAQs
Who can nominate?
Anyone!
Does the person have to live in the 28th Assembly District?
Yes. Nominees must live, work, or attend school in the 28th Assembly District (Santa Clara & Santa Cruz Counties).
How many people can I nominate?
Please nominate as many names as you like, but you must submit a nomination form for each person.
When will honorees be contacted?
Nominees will be reviewed, and the winner will be notified within a few weeks. A ceremony will honor the Women of the Year in mid-March.

If you have any questions or concerns, please do not hesitate to contact my district office at (408) 264-2848 or (831) 425-1503.

Fill out the nomination form below or download a pdf nomination form here.

Nominee
Name
Title
Address
Telephone
Please attach a brief biography of the nominee (200 words or less). Include membership in organizations, past and present community service, any awards or recognitions, and a brief statement about why you believe this woman is positively impacting her school, city, community, state, and beyond.



 


One file only.
200 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.
Please attach a photo of the nominee.
One file only.
200 MB limit.
Allowed types: gif, jpg, jpeg, png.
Person/Organizaiton Submitting Nomination
Name
Title
Address2
Telephone