1.Nominator
First Name M.I. Last Name

Email Address Daytime Phone Evening Phone
2.Address of Nominator
Street Line 1*
Street Line 2
City*
State*
Zip Code*
3.Nominator Date of Birth
Month* Day* Year*
4.What kind of help is needed? (i.e. Help with a garden, read to a child, play board games with seniors, tutor a child, walk a neighbor's dog, take inner city kids to a ball game, help a senior citizen clean up their home, have a conversation with a retired veteran, etc. - 160 Characters Maximum) - Disclaimer: Monetary help is not available for those you nominate; this is a volunteer work-based opportunity to bring our community together. If you would like to donate money through Give 7 go to https://volunteer.united-e-way.org/cwosdc-2/donate/*
5.Describe why this person(s) should be considered for assistance (2,000 Character Maximum) - Disclaimer: Monetary help is not available for those you nominate; this is a volunteer work-based opportunity to bring our community together. If you would like to donate money through Give 7, https://volunteer.united-e-way.org/cwosdc-2/donate/*