Saint John Neumann Foundation
Black Catholic Heritage Award
Nomination Form
Purpose
The Saint John Neumann Foundation seeks to recognize and celebrate Black Catholics whose faith, leadership, service, and witness have enriched the Catholic Church and the broader community. Through this recognition program, we honor individuals—living or deceased—whose lives reflect the Gospel values of faith, hope, charity, justice, and service.
Nominee Information
Nominee Name
Is the nominee:
☐ Living
☐ Deceased
Date of Birth (if known)
Date of Death (if applicable)
Current or Most Recent Residence
Parish Affiliation(s)
Diocese (if applicable)
Occupation/Vocation
Areas of Contribution
Please check all that apply:
☐ Church Leadership
☐ Evangelization and Faith Formation
☐ Education
☐ Social Justice and Advocacy
☐ Community Service
☐ Youth Ministry
☐ Religious Life or Clergy Service
☐ Music and Liturgy
☐ Philanthropy and Charitable Service
☐ Public Service
☐ Healthcare
☐ Military Service
☐ Other: _____________________________
Nominator Information
Name
Organization (if applicable)
Address
Phone Number
Relationship to Nominee
Narrative Statement
Please provide a narrative of no more than 1,500 words describing why this individual should be honored. Include information regarding:
- The nominee’s Catholic faith and witness;
- Contributions to the Church and community;
- Leadership, service, personal sacrifice and/or achievements;
- Impact on Black Catholic history, culture, or ministry;
- Legacy and influence on future generations.
Attach additional pages if necessary.
Supporting Documentation
Please submit any available supporting materials, including:
☐ Biography or résumé
☐ Letters of support
☐ Photographs
☐ Newspaper or magazine articles
☐ Church or organizational records
☐ Other supporting documents
Recognition Citation
Please provide a brief citation (100–150 words) that could be used if the nominee is selected for recognition.
Certification
I certify that the information provided in this nomination is accurate to the best of my knowledge.
Signature: ______________________________________
Date: __________________________________________
Submission Information
Completed nominations and supporting materials should be emailed to [email protected].
The submission deadline is September 30, 2026.
Selection Criteria
Nominees will be evaluated based upon:
- Demonstrated commitment to the Catholic faith.
- Service to the Church and community.
- Leadership and integrity.
- Contributions to Black Catholic life, history, ministry, or culture.
- Lasting impact and legacy.
The Foundation welcomes nominations from parishes, schools, organizations, families, and individual members of the community.