Nominate


Welcome and thank you for nominating!

If your nomination is for an individual living outside of the existing KWF Chapter areas (Cincinnati, Northern Kentucky, Dayton, Columbus, Cleveland, Indianapolis, New England, Michigan, Denver, Atlanta, Nashville, Chicago or the Bay Area) we strongly suggest sending some love via our Lemons to Lemonade box!  
Otherwise, please proceed with the below nomination form for all other gifts of FUN!

Send a Lemons to Lemonade Box


Make a Nomination

Your Information

Relationship to Nominee:

How did you hear about the Karen Wellington Foundation? (required):

Nominee Information

If you do not know your nominee’s email, just enter “nominee first name@noemail.com.” DO NOT ENTER YOUR EMAIL.

Your nominee’s medical information is not required to submit the nomination. However, if you have the information and would like to fill it out, please do so.

Once a nomination is received, the nominator will be contacted to initiate the process for completing a Recipient Information Form (RIF). Our Giving Committee (which includes at least one past recipient) reviews all RIFs and makes recommendations to the Foundation for specific Gifts of Fun. It is our goal to send as many people on vacation as possible, but as that is not always possible, the committee may select alternative gifts  based on information provided.

Do you know if the Nominee has traveled for vacation in the last 12 months or has a planned vacation in the next 12 months?

Do you have a recommendation for a Gift of Fun for this nominee? Select all that apply.

Describe the Other Gift of Fun:

Please provide a brief medical history for the nominee (required):

What inspired your nomination and how do you feel the nominee would benefit from a Gift of Fun from the Karen Wellington Foundation? (required):

Do you know of anyone who might want to be involved in the design, planning, or delivery of this gift? Please provide the names and email addresses or phone numbers of additional parties who might want to be involved.

Write a short note directly to your nominee about why you nominated them. We will share this with them later!

Thank you for your gesture of nominating someone special for a gift of FUN during an otherwise challenging, tiring and sometimes hopeless time of being diagnosed and LIVING with breast cancer. We put FUN on the calendars of women and families -  women with calendars fill of chemo and radiation treatments doctors' appointments, tests and more tests. We send them on family vacations, relaxing spa days, dinners out with friends, concerts, sporting events and other FUN only activities. Our gifts provide the many Karen's out there a chance to balance mind, body and spirit by putting something on the calendar NOW to help them keep on LIVING.

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Thank you! Your submission has been received!

Please help support our mission of putting FUN on the calendars of these women and their families.
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