Please nominate one person per form (four nominees max) Nominee must reside in the Atlanta
Metro area and be 16 years or older.
Name of nominee: ____________________________________________________________
Phone number(s) of nominee: ____________________________________________________
***
Your name (Please print) _______________________________________________________
Your signature: ______________________________________________________________
Your phone number(s): ________________________________________________________
***
To be accepted, this nomination must have five (5) supports from the Community. - With their
permission, print the names of each and include their phone number. They will be contacted for
verification. Each of these persons must be 16 years of age or older and live in Metro Atlanta.
1. Name (print): ____________________________________ Phone # _____________________
2. Name (print): ____________________________________ Phone # _____________________
3. Name (print): ____________________________________ Phone # _____________________
4. Name (print): ____________________________________ Phone # _____________________
5. Name (print): ____________________________________ Phone # _____________________
Please complete and return on or before August 9, 2008 to:
African Community Centers
3079 Campbellton Rd. SW, Suite 114
Atlanta, Georgia 30311
404-344-5454
functionalunity@bellsouth.net
Nomination Form
Unity Council Election (September 13, 2008)
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