The Sadie Strong Project

LOVE BOX
Nomination Form

Nomination Criteria:

Nominee must currently be in treatment for breast cancer
Nominee must be a resident of Buffalo or surrounding community
Nominee must be willing to share their story as a means of encouraging others

Please fill out all fields in the animation form to the best of your ability

Nominator Information

Name of Nominator

Address

Your Phone Number

Your Email

Nominee Information

My Breast Friend's Name

Address

Your Phone Number

Your Email

Length of Time Known

Date of Diagnosis

HERstory/HISstory (Please describe the nominee’s journey through breast cancer in 500 words or less – use additional paper as necessary):

Share the Impact of the Nominee’s Journey on your life/others and why she/he should receive a Sadie Strong Love Box<

Is Nominee willing to receive the Sadie Strong Love Box at the “Sadie Strong Celebration of Healing” in April or at the Prayer Breakfast in the Fall? (required)
YesNoUnsure

Sadie Strong Love Boxes will be awarded twice per year.
Nominations can be submitted by e-mail at: Sharon.Sanford@sadiestrong.org or mail to Sadie Strong, P.O. Box 300, Getzville, NY 14068.