Chessmen Club Social Programs - Nomination Form

Social Programs Nomination Form

Members, please use this form to nominate a local community program to receive
support from the Chessmen’s Social Program Fund. Worthy programs are those that help enrich the lives of Black males in the Evanston area.

Instructions:
- Complete the sections below. Please provide as much detail as possible.
- Once submitted, the form will undergo an approval process. Please anticipate an update by the next meeting.

Member's Name *

First NameLast Name
Community Program Nominee *
Type the full name of the Program.
Program Contact Person *

First NameLast Name
Contact Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Program Website*
www.enterthewebsite.com

Program Nomination Details

Please detail your responses.
Why should the Chessmen support this program? *

0/500
Aside from financially, are there ways the Chessmen can support this program?*

0/500
Please upload supplemental materials that will assist in the nomination.

This section is optional.
Cancelof
What is the requested dollar amount? *
Should be Empty: