MLK 2025 Monument Award

The Coral Springs MLK Monument Award

Nomination Form
Please use this form to nominate an individual, business, or organization based in the City of Coral Springs(Must be over 18 years of age). The Award is designed to recognize the nominee for embodying one or more of the qualities illustrated in the quotes on the MLK Monument. The deadline is 5 p.m. on January 17, 2025.
Are you 18 or older?*

YesNo
Since the nominator is under the age of 18, a parent or guardian must fill this form out.
Name of Nominator (under 18)*

First NameLast Name
Parent/Guardian's Name*

First NameLast Name
Parent/Guardian's Phone Number*
Please enter a valid phone number.
Parent/Guardian's E-mail Address*
example@example.com
Name of Nominator*

First NameLast Name
Phone Number*
E-mail Address*
example@example.com
Based on the criteria outlined for the MLK Monument Award, I am nominating the following:
Is this nomination for a*

IndividualBusinessOrganization
Must be over 18 years of age.
Name of Nominee:*

First NameLast Name
Name of Business*
Name of Organization *
Phone Number*
E-mail Address*
example@example.com
Address (Must be in Coral Springs)*

Street Address

Street Address Line 2

City (Must be in Coral Springs)State

Zip Code
Please describe below your reason/s for nominating this person or entity.*

0/250
Upload photo of nominee

25 gigs max.
Cancelof
By typing my name in the below space, I am electronically signing this form. My signing this electronic signature certifies the information to be true, accurate, and complete.*

First NameLast Name
Email
example@example.com
Should be Empty:

The Coral Springs MLK Monument Award