100 Women Who Care Ames Non-Profit Nomination Form
To be able to nominate a non-profit:
You must be current with your donations and may present only one non-profit per event.

Please submit this form at least one week prior to the meeting so that we can confirm eligibility of the organization you are bringing forth. Once eligibility is verified, the charity will be added to our list of pre-qualified charities eligible for presentation and funding consideration at a future meeting.
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Email *
Nominating Member Name *
Nominating Member Phone Number *
I nominate the following nonprofit organization to be considered for the group’s next donation:
Organization Name *
Organization Address/Phone *
Organization Contact *
Mission/Purpose of the Organization *
Service Area/Whom the Organization Serves
[Please, No Fundraising Campaigns (ie. Reggie's Sleepout vs. YSS)]
*
Specific Details on How Our Donation Would Be Used *
100 Women Who Care Ames requires non-profits to be registered
with 501(c)(3) status.

Please check here to confirm that the non-profit has this status.
*
Required
If chosen, the donations will exclusively be used for Story County residents.  
*
Required
100 Women Who Care Ames 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.
*
Required
Signature (Please type) *
Date *
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