Nominate someone for the MLK Youth Award

Dr. Martin Luther King, Jr. Youth Service Award

To nominate an individual for the 2016 Dr. Martin Luther King, Jr. Youth Service Award, please complete this form and return it to the King Nomination Committee with a photo, bio, the reasons why the nominee should be honored, and evidence of community service.  Submissions must be postmarked by December 4, 2015.  The Youth Service Award is limited to individuals residing in Southwest Georgia.  Service may be in the form of leadership of social, economic or political change and/or ministry to the economically or socially disadvantaged.

(Print this portion, fill it out, and mail it in)

Evidence of service must be submitted; such as: Award Citations, Pictures, Newspaper Clippings, Videos, Testimonials, etc.

Nominee’s Name _______________________________________________________________

Address _______________________________________________________________________

Telephone _____________________________________________________________________

Submitted By (Your Name) _______________________________________________________

Address _______________________________________________________________________

Telephone _____________________________________________________________________

Email ________________________________________________________________________

Mail nominations to:

The King Nomination Committee

c/o Dr. Brenda Hodges-Tiller

All applications and submission material must be mailed to:

P. O. Box 4088

Albany, Georgia  31706

Information Phone: 478/335-3761

No nominations will be accepted after December 4, 2015

and must be postmarked by December 4, 2015.

One Individual Youth Service Award will be presented based on the following criteria:

This youth:

*must be between 12-17 years of age;

*must reside in Southwest Ga. and is enrolled in a public or private school in Southwest    Georgia;

*must be in good academic standing;

*must be of high moral character;

*is known to have inspired peers and adults by using his/her talents and leadership;

*is motivated by genuine concern for his/her fellow man; and

*is currently involved in community service.