On the behalf of the Office of California Secretary of State Shirley N. Weber, Ph.D., we are honored to recognize California citizens who serve their community. Please complete the form below and submit at least 30 business days before the recognition is needed. Submission of this request will be reviewed and processed by the Secretary of State. Submission of this request does not guarantee that it will be fulfilled.

Honoree Information

Organization Information

Requestor Information

Please wait...