Veterans of the Year 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.

• Nominees must reside or work in the 77th Assembly District. Visit our website for more information.

• Please provide a brief description that notes the nominee’s achievements, contributions, of volunteer efforts, and a profile picture that we can post publicly. One page maximum. (You may attach a typed article, press release, or newsletter, & web links that describes their achievements.)

• Your are encouraged to emphasize significant contributions in their respective communities, and describe how their efforts have positively impacted the communities in which they serve.

I Would Like To Nominate

First

Last

Phone

Address

City/Town

State/Province

ZIP/Postal Code

If nominee is not a resident of the 77^th Assembly district, but works or is involved in the district:

Address

City/Town

State/Province

ZIP/Postal Code

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

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 .

Required: Include a high-resolution picture of your nominee.

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

Nominated By

First

Last

Phone number

Address

City/Town

State/Province

ZIP/Postal Code

Search