In recognition of the extraordinary volunteerism of our Veterans and military service members, we are calling for nominations to spotlight the efforts of our military community in the 74th Assembly District. Please fill out this form if you would like to submit a nomination for a Veteran, military service member or spouse who has positively impacted the communities and neighborhoods in the 74th Assembly District.

Place a check mark next to the award that you are nominating the individual for. (You may choose no more than two.) *

1. Distinguished Active Duty Service Member of the Year

2. Distinguished Retired Service Member of the Year

3. Military Spouse of the Year

4. Outstanding Local Community Advocate (Church Leaders, Sport Coaches, etc.)

5. Youth Leader Achievement Award (JROTC, Young Marines, Sea Cadets, etc.)

Tell Us About the Individual You Are Nominating...

Please Note: Nominees must reside or work in the 74th Assembly District: Oceanside, Vista, Camp Pendleton, San Clemente, San Juan Capistrano, Dana Point, Laguna Niguel, and portions of Fallbrook

Full Name: *

Phone Number: *

(xxx) xxx - xxxx

Email Address: *

Residential Address (Address, City and Zip Code) *

Tell us your nominee’s highlights for the year! *

Additional Space:

Feel free to include links to articles, blog posts, or any other third party materials

Assemblymember Laurie Davies74th Assembly District

Tell Us About the Individual You Are Nominating...

Assemblymember Laurie Davies
74th Assembly District