Nomination Form

Recipient Nomination Form

This form is for anyone within the Betterment network to nominate an individual or organization to possibly become a recipient for an upcoming event or through the Immediate Need Fund. Please visit our Recipient Criteria page to find out more information. Submission of this form is a nomination only and is subject to review and approval by the national Board of Directors.

* Indicates required field

Recipient's Full Name: *

Nominator's First Name *

Date Submitted: *

Nominator's Last Name *

Nominator's Email *

Nominator's Phone Number *

Nominator's Address *

Line 1

Line 2

City

State

Zip Code

Country

Nominator's Betterment Affiliation (committee member, friend, supporter, etc.): *

Nominator's Chapter Affiliation *

Have you shared your nomination request with a national Board Member? *

yes no

if yes, please tell us that board member's name *

Recipient's First Name: *

Recipient's Email *

Recipient's Last Name *

Recipient's Phone Number *

Recipient's Address *

Line 1

Line 2

City

State

Zip Code

Country

Tell us more about the recipient's story (their background) *

What Immediate Impact would Betterment provide for this potential recipient per our criteria? *

How does this potential recipient embody the Gift that Keeps on Giving? *

Budget Information - What is the total amount of the request? What are the individual item prices that make up the total? *

Signature *

How do you know the recipient and what steps were taken to vet the recipient? *

Submit

​Recipient Nomination Form

Recipient Nomination Form