Assemblymember Sharon Quirk-Silva
67th Assembly District

AD 67 2023 Women of Distinction Award Candidate Submission Form

Do you know an extraordinary woman who leads by example, lives on purpose, and inspires others to be more and do more? My office is now accepting nominations for the "Women of Distinction - 67th Assembly District" awards. The ceremony will take place in March, during Women's History Month.

Please use this form to nominate an exceptional woman who lives or works within the 67th Assembly District and who has made a significant contribution to our community, or has had a meaningful impact in your life, in the categories listed below: 

•	Arts 
•	Business
•	Community service
•	Education
•	Health services
•	Military 
•	Under 30
•	Sports

The deadline for nominations is February 25th and forms can be submitted here or via post mail, email, or fax.  
 
If you have any questions or require additional information, please contact Lily Jimenez in my office at (714) 525-6515 or by email at Liliana.Jimenez@asm.ca.gov.

Please provide your contact information (i.e. phone number, email, etc.)

Name of Nominee

Nominee Contact Information (i.e. phone number, email, etc.)

Category

Please share why you chose your nominee for this recognition?

Assemblymember Sharon Quirk-Silva67th Assembly District

AD 67 2023 Women of Distinction Award Candidate Submission Form

Assemblymember Sharon Quirk-Silva
67th Assembly District