P.O. Box 367
1600 Falmouth Road, Unit 25
Centerville, MA 02632
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Give Where U Live — Nomination Submissions

Does your organization have a hard-working individual or family in need of some extra assistance this holiday season? We want to help. Nominate a specific individual or family in need for the Give Where U Live holiday campaign by filling out the form below. 

Nomination requests must be for a clear and specific need, and range in dollar amount from $500-$2,000. Every question in the submission form must be answered thoroughly for consideration. Submissions are due by October 25. 

A special thanks to our partners, Cape Cod Broadcasting Media, for making the Give Where U Live Holiday Campaign possible.

Your Organization:*

Contact Name:*

Contact Email:*

Nominee Name (indicate if name should be kept confidential, names changed):*

Organization Relationship to Nominee:*

Dollar Amount Requested (Between $500-$2,000):*

What is the primary request? Include dollar amount and specific need of the individual/family. (An example: $500 for car repairs that will allow mom to get to work). *

Provide as much background information as you can about individual/family being nominated. Include both challenges and strengths. Include ages of family members especially children/seniors.:*

What town does the nominee live in? How long has nominee lived on Cape/Islands?:*

Please list any nonprofits/services assisting this person/family.:*

Are you human? Please type what you see below.