the values of courage, truth, justice, compassion, dignity, humility and service. These principles ... Human Relations C
West Orange Human Relations Commission MLK Honoree Nomination Form “The Martin Luther King, Jr. Holiday celebrates the life and legacy of a man who brought hope and healing to America. We commemorate as well the timeless ideals he embodied and lived: the values of courage, truth, justice, compassion, dignity, humility and service. These principles radiantly defined Dr. King’s character and empowered his leadership. On this holiday, we commemorate the universal, unconditional love, forgiveness and nonviolence that characterized his revolutionary spirit.”- Coretta Scott King Please take this opportunity to nominate a West Orange resident whom you feel exemplifies these values. The nominee should be available to be acknowledged and awarded on the morning of January 16, 2017 at a Township Ceremony. In accordance with this year's theme of celebrating the Revolutionary Spirit of Dr. Martin Luther King, Jr., the nominee should embody these values professionally, personally and socially. YOUR NAME __________________________________________________________ YOUR ADDRESS________________________________________________________ YOUR EMAIL ___________________________ CONTACT # _____________________ NOMINEE NAME_______________________________________________________ NOMINEE ADDRESS (must be a resident of West Orange) _____________________________________________________________________ NOMINEE EMAIL ___________________________ CONTACT # _________________ NOMINEE EXPERIENCE Attach additional information regarding professional experience, including: a) area of expertise, b) service in the community (can extend beyond West Orange, c) leadership positions and d) any other services, particularly if relevant to the nomination. ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ NOMINATED BY___________________________________ DATE _____________________ The MLK Nomination Form must be received by HRC not later than November 15, 2016. Please send via email
[email protected]. Or via mail to Human Relations Commission |CO Mayor’s Office - Township of West Orange} 66 Main Street | West Orange NJ 07052 973.325.2555 Phone
REC’D BY HRC DATE ______ NOMINEE MEETS RESIDENCY REQUIREMENT ______
