Charity Nomination Form

Thank you for your interest in nominating a nonprofit organization to receive funding from the WellSky Foundation! The WellSky Foundation is proud to partner with organizations that embody our mission to improve the quality of life of vulnerable populations by removing socioeconomic barriers to recovery and wellness.

Nominated organizations will be reviewed and if additional information is needed will be contacted by the foundation team.

If you have any questions about the WellSky Foundation, please email us at or visit our website

Tell us about yourself:

What is the name of the nonprofit you would like to nominate? (required)

What is the mission of the nonprofit?

The WellSky Foundation considers all nominations that promote our mission of improving the quality of life for vulnerable populations. Please select the areas of special need that this nonprofit addresses. (required)

Please describe in detail how this charity exhibits the mission of the WellSky Foundation

Our mission is to improve the quality of life for vulnerable populations by removing social barriers to recovery and wellness. The WellSky Foundation is an engine for change, financially supporting organizations that enable care and healing for people, regardless of their socioeconomic status.
Check which vulnerable population this charity serves. You may check all that apply:

List the location of the nonprofit’s headquarters (required)


What geographic area(s) does this nonprofit serve? You may select all that apply: (required)

What is this nonprofit’s program expense percentage? (Percent of the nonprofit’s total expenses spent on the programs and services it delivers)

Why are you nominating this nonprofit?

What is the nonprofit’s website? (required)

Who is a good contact for us to reach out to at this nonprofit? (required)
Please provide the name, contact number and email for the point of contact at this nonprofit (Ex. CEO or Director of Development).

First Name: Last Name: Title: Email: Phone:

If there is any additional information you would like to provide in support of your nomination, feel free to include below.

Thank you for nominating this charity. Please provide your name and email if we want to reach out for additional information (required)

Name: Email: