NOMINATE

Victory Foundation Nonprofit Nomination Form

Section 01

FIRST NAME

LAST NAME

Phone

I am a...

Victory Employees Only

If you're nominating a Victory customer, skip to section 2.

Nonprofit Organization Name

Nonprofit Contact Name & Info

Nonprofit Website

Does this organization have 501(c)(3) status?

Yes

What is their core mission?

What is their core area of work?

How did you come to know this organization? How long have you known them?

Have you volunteered with them before?

Yes

If yes, for how long?

Why does this nonprofit’s cause resonate with you personally?

Why would this nonprofit be a good fit for the Victory Foundation?

What are their primary funding needs? If possible, provide a range of funding amount needed.

If you are a Victory employee, would you like to be vetted to receive help from this nonprofit?

Yes

If yes, why?

Section 02

Customer First and Last Name

Customer Email

Customer Phone

Customer's City and State:

Briefly describe the customer's condition or area of need. Does it align with our Foundation's criteria? (to review our criteria go to victory-foundation.org)

Is the customer aware of your nomination?

What specific type of support is the customer needing / requesting? i.e. resources, funding, medical care, etc.

MESSAGE