Kentucky.gov
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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:
*Address:
*City:
>
*State:
*Zip:
*Date of Birth:
Organization:
*Reason for Nomination:
Your Information
*Name:
*Address:
>
*City:
*State:
*Zip:
*Phone:
*Email:
Would you like the Ambassador certificate mailed to you or the nominee?
Mail Certificate To Me
Mail Certificate To Nominee
Comments: