* required information
Nominate an Honoree 
Your Contact Information:

Anyone can nominate an Honoree – even a woman herself. Honorees are typically selected for their contributions to one or more of the following:

  • Professional success in chosen career
  • Community and/or professional leadership (socially, charitably, and/or professionally)
  • Demonstrated commitment and passion for the Make-A-Wish® mission

Each Honoree will use her unique talents, compassion and leadership qualities to further the mission of Make-A-Wish® Central and Western North Carolina. She’ll raise awareness and funds to grant the wishes of children in our community battling life-threatening medical conditions and enrich their lives with hope, strength and joy.

First Name:*
Last Name:*
Address Line 1:*
Address Line 2:
ZIP/Postal Code:*
I'd like to nominate an Honoree for:* The Charlotte W.I.S.H. Society
The Triad W.I.S.H. Society
Nominee's Name:*
Nominee's Email Address:
Nominee's Phone Number:
Nominee's Company:
Please explain why you believe this Nominee would be a fit for the W.I.S.H. Society:*
Does this person know they are being nominated?:* Yes