Charity Nomination Form
2025 nomination deadlines are January 2, March 25, July 15, and October 7.
Nominating Member Information
Member Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
I'm a member of:
*
Scottsdale
Ahwatukee
East Valley
Charitable Organization's Info
Name of Charity
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Website
*
EX: http://www.nameofcharity.org
Name of Charity Contact
*
First Name
Last Name
Position at Charity
Email
*
example@example.com
Phone Number
-
Area Code
Phone Number
Charity EIN Number
*
Year Charity Founded
*
Year organization became a 501(c)3 entity. The organization must be a 501(c)3 for a minimum of three complete years to be eligible.
*
Mission and Purpose
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Primary Programs
*
Who does the charity serve and how many are served annually?
*
What geographic area is served by the charity?
*
How does the charity impact the Phoenix Metro area?
*
How would our donation be used locally by the organization?
*
Number of Employees
*
Number of Volunteers
*
Has the charity ever operated under a different name?
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Yes
No
Unsure at this time
If so, what was the previous name(s)?
Does the organization have 3 complete years of 990 tax returns available for review?
*
Yes
No
Unsure at this time
Will any portion of the 100+ WWC donation go towards administrative fees? If so, what percentage?
*
If the charity was selected to receive our quarterly donation, would someone from the organization be available to speak at the following quarterly giving circle to describe the impact of the donated funds to the group?
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Yes
No
Unsure at this time
Does the organization agree to provide charitable tax receipts to our members?
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Yes
No
Unsure at this time
Does the organization agree NOT to sell, give or use Member contact information for solicitations by themselves or other organizations?
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Yes
No
Unsure at this time
Does the organization have a Donate button on their website?
*
Yes
No
If this charity is selected by the group, to whom would the checks be payable to?
*
Please verify that you are human
*
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