ORWB Nomination Form

Welcome to the ORWB Nomination Form

The ORWB foundation is committed to helping active military, veterans, and their families. It is an honor to help the men and women who have served our country to protect the freedoms we hold so dearly. Please nominate a family or individual with a need or wish that ORWB could potentially help.

Your Contact Information:

Name*

Address*

City/Town*

State/Province*

ZIP/Postal Code*

Country*

Email Address*

Phone Number*

Who are you Nominating?

Name*

Nominee Address*

Nominee City/Town*

Nominee State/Province*

Nominee ZIP/Postal Code*

Nominee Email Address

Nominee Phone Number*

Is the nominee an active military, veteran, or military family?*

Select

If active military or veteran, which branch of service did the nominee serve?

Select

Are you requesting a need or a wish for your nominee?*

Select

What need or wish are you requesting for the nominee?*

Why should we consider your nominee?*

Tell us how you know the nominee.*

DD-214

For your application to be reviewed, upload it here, or please submit your DD-214 to rebecca.barnard@orwb.org.

Drag and drop files here or

Thank You! Our Board will Review the application contact you soon.

We guarantee that 100% of your donations will go toward helping veterans and their families. And to top it off, First Service Bank will match every donation made, dollar for dollar. Let’s join together so we can be #firstservicestrong.

Robin Hackett, Chief Operations Officer

Send me a copy of my responses

Privacy Notice|Report Abuse