Kentucky.gov
Agencies
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Kentucky Secretary of State
Michael G. Adams
Nominate a Commonwealth Ambassador
To nominate a worthy person to be a Commonwealth Ambassador, fully complete and submit the form below. Please
contact us
with any questions.
Nominee's Information
*Name:
You must provide a name.
*Address:
You must provide an address.
*City:
>
You must provide a city.
*State:
You must enter a valid state code.
*Zip:
You must enter a valid zip code.
You must enter a zip code.
*Date of Birth:
You must enter a date of birth.
Organization:
*Reason for Nomination:
You must provide a reason for the nomination.
Your Information
*Name:
You must provide a name.
*Address:
>
You must provide an address.
*City:
You must provide a city.
*State:
You must enter a valid state code.
*Zip:
You must enter a valid zip code.
You must enter a zip code.
*Phone:
You must enter a valid phone number.
You must enter a phone number.
*Email:
You must enter a valid email address.
You must provide an email address.
Would you like the Ambassador certificate mailed to you or the nominee?
Mail Certificate To Me
Mail Certificate To Nominee
Comments:
