26th Annual City of Tempe 
Human Relations Commission

MLK Diversity Awards

Deadline for nominations:  Monday, Dec. 9, 2024

Winners will be honored at the 2025 City of Tempe MLK Diversity Awards

Eligibility Requirements:

• Nominee must demonstrate a commitment to the promotion and acceptance of diversity in Tempe
• Individual nominees must live, work or volunteer in Tempe. Business/Organization nominees must be located in Tempe.
• Current elected officials and current Human Relations Commissioners are not eligible for nomination.
• Past award winners will be eligible after three years for a new or different project. 

1

This nomination is for the following category (select one)

This nomination is for the following category (select one)

Individual Adult

Individual Youth

Business

Education

Community Group/Organization

2

Name of Nominee:

 *

Name of Nominee:

3

Nominee's Address

 *

Nominee's Address

Nominee's Address

Nominee's Address

Nominee's Address

4

Nominee's Phone Number:

 *

Phoneext.

5

Nominee's E-Mail:

 *

Nominee's E-Mail:

6

Describe why this individual/organization exemplifies a commitment to diversity in the City of Tempe:

 *

Describe why this individual/organization exemplifies a commitment to diversity in the City of Tempe:

7

Describe how the individual/organization's efforts have addressed these following characteristics that exemplify the spirit of Dr. Martin Luther King, Jr.  (Please select three characteristics to write about). Ongoing commitment to:

Describe how the individual/organization's efforts have addressed these following characteristics that exemplify the spirit of Dr. Martin Luther King, Jr. (Please select three characteristics to write about). Ongoing commitment to:

Social Justice

Respect/Courtesy

Leadership

Courage

Inclusion

8

Describe any challenges that this individual overcame in demonstrating these characteristics:

Describe any challenges that this individual overcame in demonstrating these characteristics:

9

Additional Comments that Support the Nominee:

Additional Comments that Support the Nominee:

10

Please list two references:

Please list two references:

Name, relationship to nominee, phone number

Name, relationship to nominee, phone number

11

Nominator Information:

 *

Nominator Information:

Nominated by:

Address:

Phone Number:

E-mail address:

1. To receive a copy of your submission, please fill out your email address below and submit.
2. Email Address

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