More Good Days Recipient(s) Nomination

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Do you know of someone walking through a valley who could use someone to walk alongside them ? We would love to hear about them. We take seriously the sensitive and often private nature of this information and will consult the nominating party before disseminating any information. Someone from our team will be in personal contact to decide the most respectful and tactful way to care for recipients and will only discuss that which is relevant to provide appropriate services and care.

Email *

Potential recipient name *

Your connection to potential recipient *

Brief explanation of situation/ health challenge *

More Good Days Projects you think would be most relevant (now or at a later time)- check all that apply *

Chalk Encouragement

Memory Quilt

Deliveries (fresh produce/ meals/ groceries etc.)

SCHS Senior Scholarship (for students with a family member going through health challenges)

Counseling (Grief etc.)

Care Packages

Home Maintenance (including lawn care etc.)

Other

Required

Your Contact/ Preferred Method to get in touch to discuss further *

Any other details you'd like to add

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