County Executive Curran Calls on
Public to Nominate Women of Distinction

Nassau County will host its Annual Mother’s Day Celebration,
Just Desserts, on Thursday, May 9th at 6:00pm
at the Cradle of Aviation, 1 Davis Avenue, Garden City, NY

County Executive Curran invites you to honor the all too often
unrecognized feats and accomplishments of ordinary women who perform outstanding volunteer efforts.
Please complete this form by April 12, 2019.

All fields marked with a red asterisk (*) are required.

STEP 1 Enter the Nominee’s Information

Nominee Name: *

Nominee Address 1: *

Nominee Address 2:

Nominee City: *

Nominee State: *

Nominee Zip Code: *

Nominee Phone Number: *

Nominee Email Address:

Nominee Employer:

STEP 2 Enter Your Information

Your Name: *

Your Address 1: *

Your Address 2:

Your City: *

Your State: *

Your Zip Code: *

Your Phone Number: *

Your Email Address: *

STEP 3 Nominee Contributions *
In your own words, please describe how your nominee has improved the well-being of the community.

STEP 4 Why shoud we choose your Nominee? *
Explain why your nominee should be chosen for the Nassau County Executive Women of Distinction Award.
Please include any personal achievements, awards and/or extraordinary circumstances that may be applicable to your nomination.

* Nominee must be a Nassau County Resident *