2018 Peace and Justice Award Nomination
RequiredRequired Question(s)
16th Annual Peace & Justice Award Nomination Form
Nominations from the general public will be based on the following criteria. Please keep these criteria in mind when submitting your nomination form.
1. Nominees may be individuals or a group.
2. Nominees must demonstrate a commitment to the mission of peace and justice in our community or larger world.
3. Instances must be cited which show that this person or group has positively impacted other lives by their actions.

Clinton's Martin Luther King Committee will select the person or group to receive the award.  The award will be presented at the MLK Celebration which will be held on January 14, 2018, at Clinton Community College

Nomination forms should be completed and submitted along with letters of support by November 20th, 2017.(Voting will take place November 28, 2017).

Required 1.

Name of Nominee 


50 characters left.
Required 2.

Phone Number of Nominee


50 characters left.
Required 3.

Address of Nominee


350 characters left.
Required 4.

Name of Nominator(s) 


50 characters left.
Required 5.

Phone Number of Nominator


50 characters left.
Required 6.
Please tell us why you are nominating this person or organization for the Peace & Justice Award.

1000 characters left.
If you need additional space to answer question #6, please continue here:

1000 characters left.
Required 8.
How did you learn about the Peace & Justice Award? Please select all that apply.
Friend or colleague
Email announcement
Organization's website
Social media site (Facebook, LinkedIn, etc.)
  • Comment:

  • 500 characters left.
Please note that one letter of support must also be submitted in addition to this form. You may Email Letter of Support Here (Kemi Busker: Nokwumabua@eicc.edu)