Champion of Change Application

2025-2026 Champion of Change Award

To be counted towards your region’s donation count, donations must be made to Care to Learn. Donations will be confirmed with the Care to Learn headquarters so please provide accurate information to ensure your donation is accounted for. To receive a Care to Learn donation box, request one here: https://calendly.com/caretolearn-donationdrivebox/donation-drive-box-checkout

Comments

This field is for validation purposes and should be left unchanged.

Adviser Name(Required)

First Last

Adviser Email(Required)

Enter Email Confirm Email

Adviser Phone(Required)

Chapter Name(Required)

Region(Required)

Amount of in-kind donations(Required)

Were your donations dropped off or shipped?(Required)

Drop off

Shipped

Date of Donation(Required)

Provide the date of drop off or date of shipment

*If shipped: please provide sender information if different than contact information above

Champion of Change Application

2025-2026 Champion of Change Award

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