Nassau County, NY

Nassau County Office of Hispanic Affairs
Nominee Application for Mexico's Independence Day Celebration

The Nassau County Office of Hispanic Affairs will host its Mexican Independence Day Celebration on Monday, September 27th, 2021 at the Theodore Roosevelt Legislative and Executive Building.

The public is invited to nominate Mexican American individuals who have contributed and made a difference in Nassau County. Selected nominees will be honored during our Mexican Independence Day Celebration. All are invited to join us to honor the contributions and accomplishments of Mexican 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 Wednesday, September 22nd, 2021.

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

STEP 1 Nominee Information

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: