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MLK Award Nomination Form

Nomination Instructions: Complete the nomination form and use the submit button or mail to the address noted below. 

Nominations must be received by 2 p.m. Monday, Nov. 21, 2016.

I wish to nominate this individual for the Martin Luther King Jr. "Living The Dream" Award.

Exception: If an individual received the "Living the Dream" award prior to 2007, they may be considered for the Calvin C. Goode Lifetime Achievement Award.

*denotes required field
(Include area code if other than 602.)
Is nominee aware of the nomination?*

Dr. King taught that non-violence should be a way of life. Please describe how the nominee’s efforts have addressed four or more of the following core values: (Type or copy/paste in the area below or mail in. If mailing in, please note in the text box)*:

  • Non-violence
  • Love
  • Commitment
  • Courage
  • Social Justice
  • Leadership
  • Racial equality

Nominator Information

(include area code if other than 602.)

Please return this completed form using the submit button below. If you wish to mail or fax the nomination form to the following address, first press the submit button and print out the submission verification screen that will appear.

Phoenix Human Relations Commission
c/o City of Phoenix Equal Opportunity Department
Attention: HRC Liaison
200 W. Washington St. 15th Floor
Phoenix, AZ 85003
Phone: 602-262-6690
FAX: (602) 534-1124

If you have questions, call 602-256-6690/voice or 602-534-1557/TTY.

Before you submit this e-mail form, we would like you to be aware of the city's policy on the use of its e-mail systems. The policy states that the e-mail message you are about to send: (1) is subject to public disclosure under the Public Records Law, (2) is not private or confidential and (3) is retained for 90 days

In Person:

Equal Opportunity Department
Phoenix City Hall
200 W. Washington St., 15th Floor
Phoenix, AZ 85003

City business hours are 8 a.m. to 5 p.m., Monday through Friday, except for major holidays.