100 women –pacific

Nomination Form

100 Women Pacific

Nominate a Non-Profit

About the non-profit

Name of Non-Profit

All nominated causes must have a federal 501(c) status, or run under the umbrella of a community or other foundation, so they are able to provide a tax receipt to donors.

501(c) Identification Number

If the ID# does not belong to the non-profit, please include the owner's name.

Mailing Address

City

State

Zip Code

Website

Additional Site (Social Media?)

optional

Eligibility Check:

To the best of my knowledge, the non-profit follows state and federal guidelines to maintain a legal and functional non-profit.

To the best of my knowledge, the non-profit is in good standing fiscally in its community.

To the best of my knowledge, the non-profit follows a code of conduct to keep a positive reputation in its community.

This non-profit was not selected by 100 Women Pacific in the past 12 quarters.

About You

First Name

Last Name

Status

You must be a member to nominate.

Member

Membership is in process right now

Do you need to update any of your contact info with us? (optional)

Why are you nominating this non-profit?

Why are they the best choice for our group this quarter? What do you know about them, their cause, projects, goals, etc.? How long have they been doing this here? Do they have successes to share? This is your opportunity to sell our screeners on your nomination so it gets to the top 3!

How would you like to be contacted about your nomination?

Phone

Text

Please give us that contact information:

Type in your phone, text, or email address.

Please refresh your memory of our process by visiting 100womenpacific.com

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