Non-Profit Partner Nomination Form

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Non-Profit Partner Nomination Form

Please complete the following form if you wish to nominate a non-profit for our 2019-2020 Non-Profit Partner program.

2019-2020 Non-Profit Partner Nomination Form

* Indicates required field

Your Name: *

First

Last

Your Phone Number: *

Your Email: *

Are you a current APWA member? *

Yes No

Name of Non-Profit Organization *

Contact Name of Non-Profit (if known) *

First

Last

Do you currently volunteer or actively support this organization? Choose One *

Yes No

Email Address for Contact (if known) *

In what ways do you feel APWA would connect well with the above organization? *

Are there volunteer opportunities of interest to APWA members? *

Yes No Not Sure

If yes, please name a few: *

If this organization was selected, would you volunteer with them? *

Yes No Maybe

If requested, would you be willing to speak to the APWA Board members or APWA members about your involvement with the non-profit or reason for nominating? (i.e., Could you advocate to APWA members or the Board of Directors why this organization would be an excellent choice?) *

Yes No

If this organization was selected, would you serve on the Special Projects Committee (previously known as the "Gala Committee")? *

Yes No

Additional Comments? *

By submitting this form, you understand that, based on member interests, the APWA Board of Directors and APWA Special Projects Committee reserves the right to determine the scale and nature of any fundraising event(s) each year. For example, APWA may not host a Gala event and may instead organize different fundraising efforts. *

I agree I disagree

Submit

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