FIA Nomination Form : First Unitarian Church of Des Moines

Nominations are due by April 19

Before completing this form, be sure the person making the nomination and the organization contact person have both read the FIA Partnership Responsibilities

Nominated Organization

Organization’s Address

Website

Phone Number

Name of Point of Contact at Organization

Point of Contact Phone

Point of Contact Email

Member/Friend of First Unitarian who is nominating this organization

Nominator Phone

Nominator Email

Nominating Member/Friend’s Relationship to Organization (volunteer, employee, board, etc.)

Project Champion (if different than nominator)

What is the mission of the organization?

How does the organization carry out that mission?

Nominator: In your opinion, how is this organization’s mission compatible with the principles of Unitarian Universalism?

We hope this financial and volunteer partnership will foster a deeper and more meaningful relationship between First Unitarian and the organization. Please share below your hopes for this partnership.

Describe the volunteer opportunities that could be available to members and friends of First Unitarian, including the type of work involved, the number of people, dates (if known in advance), and any age restrictions on who may participate.

Will there be any supplies needed and/or costs to complete the service projects? If so, please detail them here (as far as is possible) and clarify who will be responsible for them. Please note any costs incurred by First Unitarian for the service projects will be deducted from the overall donation amount.

How will the money donated by the congregation over the year be used if this organization is selected? (e.g.: General operating support, funding a special project, buying supplies, etc. – please describe.)

Please include the following when submitting this nomination form:

Letter of Determination of 501(c)(3) status
Most recent audited financial statement [overall revenue/expenditure budget is only required page(s)]

Confirmations

Click below that each read and agree to the FIA Partnership Responsibilities">

The champion has read and agrees to the FIA Partnership Responsibilities

Yes

The organization contact person has read and agrees to the FIA Partnership Responsibilities

Yes

FIA Nomination Form

Nominations are due by April 19

Please include the following when submitting this nomination form:

Confirmations

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