Black History Month Nomination

ad77 boerner black history month nomination


Assemblymember Tasha Boerner wants to spotlight San Diego County residents who are doing amazing things in the 77th Assembly District. She wants to know who you think is leading our communities.

Please fill out this form if you would like to submit a nomination for an individual making a difference in our district.




NOMINEE INFORMATION
Name
Residential Address:

If nominee is not a resident of the 77th Assembly District:

Work Address:

Tell us about this person's story: Detail who your nominee is and why we should recognize them. Include their achievements, contributions, of volunteer efforts in 2025-2026.


Photo Upload - Please upload a photo of the nominee:

One file only.
200 MB limit.
Allowed types: gif jpg jpeg png.


Optional: Attach a typed article, press release, newsletter, or web links that describes your nominee’s achievements.

One file only.
200 MB limit.
Allowed types: txt rtf pdf doc docx .



NOMINATOR INFORMATION
Please provide your information in case we need to contact you for additional information.
Name
Address