Nonprofit Nomination Form
Please complete this form to nominate a nonprofit for consideration to apply for grant funding from The 'Quin Impact Fund. If you’d like to nominate multiple nonprofits, please submit a separate form for each. Thank you for helping us make a greater impact - one nomination at a time!
Your Email Address
*
example@example.com
Your Name
*
First Name
Last Name
Member Number
*
Name of Nonprofit Organization
*
Nonprofit Contact Name
*
First Name
Last Name
Nonprofit Contact's Title
Nonprofit Contact Email
*
Nonprofit Website Link
*
Under which 'Quin Impact Fund Pillar would best apply to this nonprofit?
*
Please Select
Arts & Culture
Equity & Opportunity
Health & Wellness
Youth & Education
Your Connection to the Nonprofit
*
I am a board member
I am a staff member
I am a volunteer
I have been personally impacted
Other
Submit
Should be Empty: