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One Act of Kindness Nomination Form

StopEnd invites you to nominate a person who could benefit from an act of kindness. Please provide truthful and complete information. Do not include Social Security numbers, banking information, medical records, or other sensitive documents. Submitting a nomination does not guarantee selection or assistance.

Your Full Name

Your Email Address

Name of the person you are nominating

City and state where the person lives

How do you know this person?

Why are you nominating this person?

What act of kindness would make a meaningful difference for this person?

Please confirm before submitting:

I confirm that the information I provided is truthful, give StopEnd permission to contact me about this nomination, and understand that submitting a nomination does not guarantee selection or assistance.