MLK Award Nomination Form

Please use this nomination form below to nominate someone for the MLK Jr. Service Award.

Anyone may nominate an individual who has volunteered time and energy during 2020 to benefit others. Previous award recipients may be re-nominated 5 years after receiving their initial award. Self-nominations are accepted.

Nominations for 2021 will open in October 2020.

Community Service

Nominee Information

First Name*

Last Name*

Affiliation*

Title*

Department*

Johns Hopkins Email*

Community Impact

Please describe in detail, how this individual serves the community and the impact of their service. (300-500 words)

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Values

Please describe in detail, how does this person exemplify Martin Luther King Jr’s Values of Service, Equality, and Selflessness. (300-500 words)

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Time Spent Volunteering

How many hours do they volunteer per week and how many years have they volunteered?

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Compensation

Are they paid for their volunteer work? If yes, please provide a brief explanation of how they are compensated?

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Nominator Information

First Name*

Last Name*

Affiliation*

Title*

Department*

Johns Hopkins Email*

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