Pro Bono Nomination Form Nominate a Nonprofit Community-based Organization for Pro-bono Services Nominate a Nonprofit Community-based Organization for Pro-bono Services We provide supports that heal and strengthen your teams in order to advance their work in transforming historical social trauma for which we are all the heirs. First Name * Last Name * Email address Name of organization that you are nominating * What is your connection to the nominated organization? * "I'm a Board member." "I'm a client." "I'm a community partner." "I'm a member of the staff and administrative team." Other What is your connection to the nominated organization? What is your LinkedIn profile web address? * Tell us about the organization 1 | Website of the organization * 2 | Address of the organization 2 | Address of the organization 2 | Address of the organization 2 | Address of the organization City City State/Province State/Province Zip/Postal Zip/Postal Country Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Côte d'Ivoire Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Barthelemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Country 3 | Phone of the organization 4 | Service that the organization will most benefit from * Single workshop on bias and oppression in programming and services Workshop series on bias and oppression in programming and services Single workshop on intersection of racial justice and restorative justice Workshop series on intersection of racial justice and restorative justice Single workshop on TRE tremoring for mitigating chronic stress and vicarious trauma Workshop series on TRE tremoring for mitigating chronic stress and vicarious trauma Single workshop on healing modalities for mitigating chronic stress and vicarious trauma Workshop series on healing modalities for mitigating chronic stress and vicarious trauma 5 | Explain why Brown Girl Healing is a good match for the organization. Be sure to refer to our values. * 6 | Explain how you know that the pro bono services will not be sidelined as a priority because they're free services. * 7 | What are you most proud of regarding the nominated organization. Refer to three things: the organization's strengths, vision, and culture. * 8 | What else should we understand about the organization? Submit