Senator O'Mara's Women of Distinction Nomination Form February 3, 2025 Women of Distinction Name and Address of Nominee Name of Nominating Individual Organization and Title of Nominating Individual Address Telephone E-mail Please provide the following nominee information Birthdate Place of Birth Present Occupation Past relevant occupations Community, Civic or Business Service, Awards and Recognition Military Service (If Applicable) What do you think has been your nominee"s major accomplishment(s)? Please use this space to provide a short statement of support for your nominee Please include a photo and any awards and commendations as well as any other information pertinent to the nomination. This information will be used to create a plaque and booklet recognizing each nominee and will be considered when selecting the 2019 Women of Distinction honoree.One file only.8 MB limit.Allowed types: jpg, jpeg, png, pdf. Leave this field blank Share this Questionnaire facebook x(Twitter) email
