Give 7 - Nomination Form

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/*