Nassau County, NY

Nassau County Office of Hispanic Affairs
Colombian Independence Day Celebration Honoree Nomination Form

The nomination period has closed. Last day of nominations was Tuesday July, 13th, 2021. Thank you.

The Nassau County Office of Hispanic Affairs will host its Colombian Independence Day Celebration on Tuesday, July 20th, 2021 at the Theodore Roosevelt Legislative and Executive Building

The public is invited to nominate Colombian-American individuals who have contributed and made a difference in Nassau County and who will be honored during our Colombian Independence Day Celebration. All are invited to join us to honor the contributions and accomplishments of Colombian Americans in Nassau County. Please email us at NCHispanicAffairs@nassaucountyny.gov to receive notifications of the event

All nominations must be completed and submitted by Tuesday, July 13th, 2021.

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

STEP 1 Nominee Information

Nominee must be a Nassau County Resident

Name: *

Address 1: *

Address 2:

City: *

State: *

Zip Code: *

Phone Number: *

Email Address:

Employer:

STEP 2 Your Information

Name: *

Address 1: *

Address 2:

City: *

State: *

Zip Code: *

Phone Number: *

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 Award Title

Please select the title of the award you would like your nominee to be considered for: