Nominate

100 Women Who Care North Platte Charity Nomination Form

Anyone can nominate a nonprofit or qualified organization to be considered for the 100 Women Who Care North Platte quarterly award (nonprofit or qualified status will be determined by the guidelines set forth by Mid-Nebraska Community Foundation). Only members of 100WWC-NP can vote on which organizations will present at each meeting. Award nominees will be notified at least 2 weeks prior to each quarterly meeting if they have been chosen to present. Presentation guidelines will be provided at that time.

* Indicates required field

Organization Name *

Organization Address *

Line 1

Line 2

City

State

Zip Code

Country

Organization Contact Person *

Contact Phone Number *

Contact Email *

Brief Summary of Donation Request or Purpose (limit 100 words) *

Is this organization a 501c3 charitable organization? *

Yes No

Nominee Name *

First

Last

Nominee Email *

Nominee Phone Number *

Submit