Ripple Empathy Project
This is the nomination form for the Ripple Empathy Project.

The Ripple Empathy Project is a 6-month long initiative that provides a collection of our wellness essentials to individuals in need. The bundle comes with an all-natural candle, salt soak, + aroma spray infused with essential oils created to encourage moments of peace, healing, introspection + meditation.

Please, nominate those you believe are in need. Whether they are experiencing a season of depression, trauma, loss or just going through a tough time, everyone deserves more moments of peace, healing, + love in their life.

Details:
3 bundles/month until January.
Nominations are open the week before the month begins.
People will be selected + contacted the following week.

*Thank you to the FIGR Fund Initiative for selecting Empathy + Me.
Sign in to Google to save your progress. Learn more
Email *
Date *
MM
/
DD
/
YYYY
Nominator's Name *
Nominee's First + Last Name *
Is the person over 19? *
Are they apart of the BIPOC community? (Black, Indigenous, Person of Colour) *
Why are you nominating this individual for the Ripple Empathy Project? *
Required
If you feel comfortable, please share more of their (your) story.
How do you think being selected for the free bundle will help the individual? *
Would you like us to contact the individual or coordinate a surprise with you? *
If you'd like us to contact them, what's their email? phone number?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy