Business Impact Nomination IN - Business Nomination Form Thank you for nominating a business to become Foster Friendly! Please tell us a little about yourself and the business you are nominating in order to help us contact them. If you have questions, contact us at info@inkidsbelong.org Please Note: * = Required field Your Information Your Name * Your Email * Business Information Name of Business * Business Address City * State * Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Business Owner/Decision Maker Name Business Phone Number Email Address How are you connected with this business and/or why are you nominating? * Other Information Anything else you need to tell us to assist us in contacting this business? If you are human, leave this field blank. Submit CONTACT Indiana State Director: Larry May info@inkidsbelong.org Project and Events Manager: Bethany Telle info@inkidsbelong.org SOCIAL MEDIA
