Nomination FormCharities NOTE: Charities may only be nominated and presented at a meeting by 100+ Women Who Care Southern Maine Members. New members must have attended and donated for at least 1 meeting before their charity is eligible to be selected. In order to be considered at a meeting, the organization must be based in the Southern Maine area. 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 Southern Maine area, as the purpose is for the contributions to stay 100% in the community.** Only members who have signed a Commitment form and are current on their contributions (with at least 1 donation) may submit a charity for consideration. ** Charity Name * Charity EIN * EINs can be found by searching for the organization at Charity Navigator: https://www.charitynavigator.org/index.cfm. Include the organization's mission statement, populations served, other sources of funds, how funds are used, and any other pertinent information below. * Nominator First Name * Nominator Last Name * Nominator Email * Charity Email Charity Email 2 Charity Phone Charity Address * Charity Address Charity Address Charity Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Charity Website/URL Is the charity a 501(c)3 non-profit? * Yes No OtherOther Has the charity been a 501(c)3 for more than 2 years? * Yes No Terms and Conditions * I understand that my charity will not be eligible for selection until I have attended and donated for 1 meeting. Terms and Conditions * I attest that I am a current Member of 100+Women Who Care Southern Maine, with up-to-date donations, and I agree to the above Terms and ConditionsThe organization agrees to not use, give, or sell the contact information of our members for additional solicitation by them or other organizations. Captcha Text If you are human, leave this field blank. Submit
