Name: Tobacco Free Moms %26 Babies 4 Wk Program
Start: 2025-10-14
End: 2025-11-12

Volusa County Women Who Care (VCWWC) Members ONLY. As a VCWWC member, you have a special privilege: the chance to nominate charities. To do so, you need to have donated in the previous quarter and be present and prepared to precent at the quarterly meeting if your charity is chosen. This ensures that our active members are involved in selecting and presenting charities, keeping our community engagement strong.

Nominating Member Information

Member Name:

Email:

Phone:

Organization Being Nominated

Organization Name:

EIN Number:

Organization Address:

Address Line 1

City

State

Zip Code

Website:

Primary Contact Name & Title:

Email:

Phone:

Organizational Information

Year Founded:

Number of Paid Staff:

Number of Volunteers:

Current Sources of Funding (check all that apply)

Brief mission statement:

Who will be served by this funding?

How would the funds be used if selected?

What measurable difference would this funding make?

Upload Requirements Organization’s logo for recognition and promotional use (VCWWC website, social media, printed materials, quarterly meetings, and check presentations) Required documents to upload (PDF preferred):

IRS 501(c)(3) Determination Letter
Florida Department of Agriculture and Consumer Services (FDACS) — Solicitation of Contributions registration/confirmation (current)
Sunbiz.org — Division of Corporations registration (current listing/annual report)

Attach File Here:

Drag & Drop Files, Choose Files to Upload You can upload up to 99 files.

Required Acknowledgments

Please check each box to confirm eligibility and understanding:

I understand that the nominating member must attend the quarterly meeting in person. If I cannot attend, I will notify VCWWC, and the nomination will be removed from consideration.

I understand that each presenting member has a total of 10 minutes to present and answer questions about the organization, including its mission, who will be served, how funds will be used, and what difference the funding will make.

I understand that members vote immediately following the presentations, and the organization receiving the majority of votes will receive the collective quarterly member grant.

I understand that through the Community Partner Impact Fund, the two organizations not selected are eligible to receive a sustaining grant once per calendar year and may continue to be renominated until they are selected to receive the primary member-funded grant.

I understand that if an organization receives the primary member-funded grant, it must wait 36 months before becoming eligible for nomination again.

Member Signature:

Clear Signature

Date:

Tobacco Free Moms & Babies 4 Wk Program

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Tobacco Free Moms & Babies 4 Wk Program

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Nominations are now closed and will reopen Jan. 1, 2026.

VOLUSIA COUNTY WOMEN WHO CARE

NONPROFIT NOMINATION FORM