Charity Nomination Form
NOTE: Charities may only be nominated and presented at a meeting by 100 Women Who Care - Southeastern Connecticut Members. In order to be considered at a meeting, the organization must be based in the Southeastern Connecticut area which covers all of New London County. The organization must be a non-profit entity recognized as a 501(c 3) for at least 2 years. No national or international charities, programs or organizations will be considered unless they have a location in the SE CT area, as the purpose is for the contributions to stay 100% in the community. **Only members who have signed a Commitment form may submit a charity for consideration. Charity Name EINs can be found by searching for the organization at CharityNavigator: https://www.charitynavigator.org/index.cfm.
Name
Charity Name
Charity EIN Number
Nominating Member Name
First Name
Last Name
Charity Address and Phone Number
Street Address
Street Address Line 2
City
State and Zip Code
Phone number
Charity Email
example@example.com
Submit
Should be Empty: