charity nomination form. please print/download and return.
NOMINATING MEMBER NAME: ________________________________________________________________
NOMINATING MEMBER EMAIL: ________________________________________________________________
I certify, to the best of my knowledge and belief, that the above information is correct and true.
charity name (in full):
__________________________________________________________________________________________
The Organization is a registered not-for-profit / charity and is able to issue tax receipts.
Answer must be "yes" to be considered: *
Yes No
Is this Organization directly linked to any other charities or organizations
Please state any and all:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
If selected, will ONE person from the Organization be able to speak at the following meeting to desc
Yes No
Has this Organization ever been a recipient of any 100 Realtors Who Care chapter funding?
Yes No
the organizations current sources of funding are:
__________________________________________________________________________________________
the donated funds would be used for (please be specific):
__________________________________________________________________________________________
the organization serves the following population:
__________________________________________________________________________________________
mission statement:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
address of local organization:
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