Nominate a Magnolia Student/Family

Thank you for your interest in nominating a student/family for a possible SAFE donation. The student/family will be added to the Magnolia Resource Team form, and you will be contacted by a member of that team. We strive to provide services to students and families with dignity, anonymity, and respect.

All submissions will be treated with the utmost confidentiality.

Tell Us About Your Nominee

Nominee's Name

First Name

Last Name

Donation Need

Number of People in the Family

Phone Number of Nominee

Primary Language Spoken

Address of Nominee

Availability

Family's Preferred Availability to Receive Donation

Tell Us About Yourself

Your information will be kept confidential and will be used only to communicate with you about your nomination.

Your Name

First Name

Last Name

Your Email