Dr. George Storms Youth Service Award Nomination Form - 31st Annual MLK Jr. Youth Breakfast

Each year the Martin Luther King Jr. Youth Breakfast recognizes one individual who has demonstrated exceptional service to our cities’ youth with our “Youth Service Award.” This year, the Worcester State University Rev. Martin Luther King, Jr. Youth Breakfast committee is seeking your assistance in identifying community leaders who has impacted our youth and who personifies Dr. King’s legacy of service, volunteerism and dedication, who might be considered for the 2025 Youth Service Award.

The selection committee will review nominations, and select the recipient who best exemplifies Dr. King’s six steps to nonviolent social change: 

1) Gathering Information- What does this person know about his or her community?

2) Educate others- Is he or she helping others understand the problems that exist within the community? If so, are they building alliances to bring about positive social change?

3) Remain Committed- In the face of obstacles, is he or she still committed to their work?

4) Negotiate- Is he or she seeking common ground to solve problems within the community?

5) Take Direct Action- Has him or her taken action to address needed change?

6) Reconcile- Has he or she maintained a peaceful and constructive approach to bringing about change; even when they must agree to disagree?

Please complete below and submit nomination form by December 1, 2024 to tnguyen89@worcester.edu   
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Email *
Name of Nominee (Full Name)  *
Agency/Association/Affiliation/Position *
Address *
Street # and Address 
Address Continued *
City, State, Zip
Phone Number *
Nominator's Name *
Nominator's Phone Number
*
Nominator's Email
*
Please explain what this person does, has done, and/or continues to do to deserve this special recognition for the above criteria. *
The nominator and winner will be notified by the 2nd week of December and will be honored at the 31st Annual MLK Jr. Youth Breakfast on Saturday January 18, 2025 at 9 a.m at Worcester State University.
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