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Nominate Single Mother
Nominate a single mother in a low income household who needs either financial assistance or childcare help due to the Covid Crisis.
1.
Your Name
2.
Your Email
3.
Your Phone Number
4.
Nominee Name
5.
Is the nominee a single mother?
Yes
No
6.
Is the nominee in a low income household?
Yes
No
7.
What does the nominee need (check all that apply)?
Financial Assistance
Childcare Assistance (for Nashville residents only right now)
8.
Where does the nominee live (city, State)
9.
How do you prefer to be contacted?
Text
Call
Email
10.
How do we contact your nominee?