2008 Young Philanthropist Nomination Form

*Nominee First Name:

*Nominee Last Name:

*Address:

*City:

*State/Province:

*Zip/Postal Code:

*Phone:

*Email:

*Name of Primary
Nonprofit Served:

Contact at Nonprofit
(who can serve as a primary reference):
*First Name:

*Address:

*City:

*State/Province:

*Zip/Postal Code:

*Phone:

*Email:

Describe the philanthropic activity of the nominee that merits recognition.
Include a description and timeline of the activities implemented, significant achievements, financial goals achieved (relative to the budget), number of volunteers recruited, number of people who benefited.

How has the nominee inspired and motivated others to volunteer and contribute financial resources?
Please note specific examples.

Name of Individual Making the Nomination (may also serve as a secondary reference):

*First Name:

*Last Name:

*Title:

*Organization:

*Address:

*City:

*State/Province:

*Zip/Postal Code:

*Phone:

*Email: