Drops of Good Nomination Form

If you know of a school, class, teacher, or group who is in need, please complete this form and we will get back to you at our earliest convenience.

Name of Nominated School, Organization or Group*

Requestor's Name*

Requestor's Email*

Requestor's Phone*

Nominee Contact Name*

If nominee info is the same as the requestor, please insert "SAME" here

Nominee Email*

If nominee info is the same as the requestor, please insert "SAME" here

Nominee Phone*

If nominee info is the same as the requestor, please insert "SAME" here

Nominee Title

Product of Interest

If you know the product you're interested in, please indicate it here. If not, please let us know the type of device you're working with.

Reason for Nomination*

Tell us a little bit about why you are submitting this donation request for this school/person. Be specific and include any other programs that this donation will help support.

How will the donation be used?*

If selected, are you willing to participate in joint communications about this project?*

Public communications may include social media posts, email, web updates, etc.

Send me a copy of my responses

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