2024 MLK Commission Dr. Martin Luther King Jr. Distinguished Achievement Award Nomination Form
Thank you for your interest in nominating a member of the community for this award! The Martin Luther King, Jr. Distinguished Achievement Award recognizes a person whose record of personal achievement in the community reflects a strong commitment to: Human Rights, Equal Educational Opportunity, and Economic Well-Being for All. It is recommended that you fill out this application on a device with a stable internet connection due to the length of the submission form. It is also recommended to draft the responses to the questions on a separate document, and copy and paste the answers over into the submission form, just to be safe and ensure no hard work is lost! Please reach out the mlk@sanantonio.gov if there are any questions! SUBMISSION DEADLINE IS JANUARY 6, 2024 at 11:59pm.
Nominee's Name
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First Name
Last Name
Nominee's Street Address:
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Nominee's Home Phone Number
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Please enter a valid phone number.
Nominee's Work Phone Number
*
Please enter a valid phone number.
Nominee's Email Address
*
example@example.com
The Nominee is (must meet both requirements):
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A resident of Bexar County; and
21 years or older
Please briefly give reasons for nominating this individual:
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Personal beliefs or qualities of the Nominee which are consistent with those Dr. King lived by and advocated:
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Personal achievement of Nominee in efforts to contribute to the well-being of others:
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Evidence of recognition given to the Nominee for his or her service to others:
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OPTIONAL: If you were introducing this Nominee as a recipient of the Distinguished Achievement Award, briefly describe what you would say:
Nominator's Name:
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First Name
Last Name
Nominator's Email:
*
example@example.com
Nominator's Phone:
*
Please enter a valid phone number.
Today's Date
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-
Month
-
Day
Year
Date
OPTIONAL: Attach a Resume for the Nominee:
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