Charity Nomination Form

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100 Women Who Care STC Charitable Organization Nomination Form

Please note that by completing this form, you acknowledge the understanding that as a member you and nominated organization are prohibited from using membership information for future solicitations or any other public use or purpose.

Date *

YYYY

Name of Nominated Organization *

Is the Organization registered 501c(3) organization? *

Organization's Contact Name *

Address *

Phone Number *

Email Address *

Mission Statement of Organization *

What population do they serve? (children, women, elderly, etc.) *

How would the funds be used? *

If selected, would someone from the organization be available to speak at following meeting to describe impact of donations? *

Name of Nominating 100WWC Member *

Submit

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