Nomination of a Family in Need during the Holiday Season.
Our goal is to gather enough information to make an informed and compassionate decision, while also being respectful of the families' privacy and dignity. When sharing nomination information please provide insight into the family's character and situation.
Nominators Name
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First Name
Last Name
Nominators Email
*
example@example.com
Nominators Phone
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Please enter a valid phone number.
Format: (000) 000-0000.
Name of Primary Contact in Nominated Family
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First Name
Last Name
Phone Number of Primary Contact in Nominated Family
*
Please enter a valid phone number.
Format: (000) 000-0000.
Help us understand the family's situation and needs that you are nominating: Family Background: Basic details about the family, such as the number of members, ages of children, and any special circumstances (e.g., single-parent household, elderly members, disabilities).
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Current Challenges: Information about specific difficulties the family is facing. This could include financial struggles, health issues, recent hardships such as job loss or natural disasters, or other challenges impacting their well-being.
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Unique Qualities or Stories: Any special stories, achievements, or qualities that make the family stand out. This could include overcoming significant obstacles, acts of kindness, or other notable aspects of their story.
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Nominator's Personal Connection: The nominator’s relationship to the family and why they believe this family is deserving of holiday assistance.
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Impact of Assistance: How would our assistance make a difference for this family?
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Additional comments
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