The Greg Hill Foundation is seeking nominations for individuals or families who have incurred a recent tragedy. This application is for New England residents only. If you or someone you know is in need of support please fill out the application to nominate them as a potential beneficiary of The Greg Hill Foundation.

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About You

Your Name

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Last

Your Email*

Your Phone Number*

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Beneficiary Name

First

Last

Beneficiary Phone Number

Beneficiary E-Mail

Beneficiary Address

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Explain in as much detail the incident that occured:

When did the incident occur?

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Please explain why you would like to nominate this family?

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Please provide any additional information about the individual or family:

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Please provide links to any news articles or videos of the incident: (not required)

Has a fundraising page been established? If yes, provide the link.

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Upload A Picture Of Beneficiary For Campaign (Not Required) :

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Please type the characters*

This helps us prevent spam, thank you.

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SUBMIT

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