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100 Women Who Care Nomination Form
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* Indicates required question
Nonprofit name
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Your answer
Nonprofit address
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Your answer
Nonprofit website
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Your answer
Tax ID Number
Your answer
Primary Contact Name and Title
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Your answer
Primary Contact phone number
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Your answer
Primary Contact email
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Your answer
Please provide information about your nonprofit, including a mission statement, population served, other funding sources, and any other information
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Your answer
Name of Nominating Member
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Your answer
100 Women Who Care Santa Cruz requires nonprofits to have 501 (c) 3 status. Please check here to confirm that the nonprofit has this status
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Yes, we have 501(c)3 status
Required
Check below to confirm that your organization is aware that if chosen, it will be required to use the donations exclusively for Santa Cruz County Residents.
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Yes, we understand
Required
100 Women Who Care Santa Cruz promises its members that they will not be solicited. Please check here to confirm that donor information will not be added to mailing or solicitation lists in the future.
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Our organization agrees NOT to use the names for future solicitations, nor give the information out to the public.
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