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Home » Nomination Form

2024 Martin Luther King Jr. Community Service Awards

Nomination Form

These awards seek to recognize members of the greater Atlanta community who embody the values articulated by Dr. Martin Luther King, Jr. Thank you for taking the time to nominate one such individual or organization!

1. First, please tell us about yourself (The Nominator):

Name:*

Affiliation:*

Telephone:* (404-555-1212)

Email Address:*

2. Now, tell us about the individual or organization:

Name:*

Address:*

City: * State: * Zip:*
Contact Name:*
Telephone:* (404-555-1212)
 Fax Number(404-555-1212):

Email Address:*

Website:(if applicable)

Is this nominee an individual or an organization?*

If an organization, is this a non-profit organization? Yes No

Check the most appropriate award category* (See Awards Criteria)

3. In 150 words or less (1100 characters max), give us a description of the nominee; including        what work is being done, where, for how long, and for whom?*


Word count:

4. In 150 words or less (1100 characters max), tell us the three (3) greatest accomplishments
       that the nominee has achieved so far (please be as specific as you can).*


Word count:

5. Now, give us your best guess of the number of lives that the nominee touches in a positive way
       each year.*

6. If the AJC was going to write a feature story about the Nominee, what would be the best
        headline for the story?*

7. In 150 words or less (1100 characters max), tell us how the nominee addresses at least one of
        the following:*
         1.) Raises awareness of social injustice
         2.) Speaks on behalf of justice
         3.) Celebrates diversity
         4.) Impels action in building a better future for all mankind


Word count: