Giving Back Nomination Form

Membership Information

Organization Name

Organization's Website

Brief description of the organization (What does this organization do? Who does it enrich the lives of? How does it do so?)

Why should we give to this organization? (your personal opinion - this will remain anonymous)

I certify that all information I have inputted above is valid and true. I also consent to having the text from my submission published on the e-ballot during the Grants & Donations election. I understand that this text will be published anonymously simply for the purpose of this election and to give voters a better understanding of this nominee.

Electronic Text Signature (type your full name)