Charity Nomination Form
Please submit this form at least two weeks prior to the meeting so that we can confirm the eligibility of the organization you are bringing forth. Once eligibility is verified, the charity will be added to our list of pre-qualified charities eligible for presentation and funding consideration at a future meeting.  (Please type "Unknown" if information is not available)
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Nominating Member Name (First & Last Name) *
Nominating Member Email *
Organization's Name Being Nominated *
Organization's Mission/Purpose *
Contact Person at Nominated Organization *
Contact Person's Phone Number *
Contact Person's Email *
Organization's Street Address *
Organization's City, State, Zip *
Organization's Website *
Is this organization a 501(c)3? *
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