nominate

nominate

Nomination Form

Section 1: Contact Information

Deserving Senior

Name
Name
First
Last

Nominator (if applicable)

Name
Name
First
Last

Section 2: Choose an experience

Please choose whether the deserving senior would like to go out on a Day By Design or if they would like to receive an in-home gift or experience.

Would the deserving senior like to go out on a Day By Design or receive an in-home gift or experience?

Section 3: Day by Design Information

Please be as specific as possible when answering the following questions. This can be a self-nomination or a third-party nomination for a deserving senior.

Have you/they gone on a Day by Design with thinkJOY in the past or had a wish granted by any other wish-granting organizations?*

*Please note that having had a wish granted in the past does not automatically disqualify a deserving senior from receiving a gift or experience in the future.

Section 4: Give a Gift or In-Home Experience

Please be as specific as possible when answering the following questions. This can be a self-nomination or a third-party nomination for a deserving senior.

Have you/they received a gift or in-home experience from thinkJOY in the past or had a wish granted by any other wish-granting organizations?*

*Please note that having had a wish granted in the past does not automatically disqualify a deserving senior from receiving a gift or experience in the future.

Section 5: Background information about the senior

*We will make every effort to make these kinds of accommodations.

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nominate

Send Us A Message

nominate
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