Rebecca Kassay - Assembly District 4 |Assembly Member Directory | New York State Assembly

Assemblywoman Kassay’s 2026 Women of Distinction Nomination Form

Please nominate an extraordinary woman who has impacted your life or the lives of others for Assemblywoman Kassay’s Women of Distinction 2026

Name of nominating individual

First Name

Last Name

Address of nominating individual

Apt Number

City

State

Zip

Phone number

Email

Confirm Email:

5. Name of nominee

First Name

Last Name

Address of nominee

Apt Number

City

State

Zip

Phone number

Email

Confirm Email:

I wish to nominate the above-named woman for a Women of Distinction Award in the following category (must live in Assembly District 4):

Business

Non-Profit

Education

Health Care

Law Enforcement/First Responders

Science

Community Volunteer

Other

Please give a description of the nominee and her contribution(s) to our community

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