2026 Women of Distinction Nomination

February 23, 2026

Please nominate a woman of distinction who has impacted your life or the lives of others for Assemblyman Conrad's 2026 Women of Distinction Awards.

1. Name of person submitting nomination

Title

First Name

Middle Initial

Last Name

Suffix

Pronouns

2. Address of person submitting nomination

Apt Number

City

State

Zip

3. Name of woman being nominated

Title

First Name

Middle Initial

Last Name

Suffix

Pronouns

4. Address of woman being nominated

Apt Number

City

State

Zip

5. Telephone number of woman being nominated

6. Email address of woman being nominated

Confirm Email:

7. Biography of woman being nominated

User Name