Journey of Hope – Nomination Form
Presented by Megan’s Amazing Adventures

About the Program

Journey of Hope provides one fully funded trip each year to a family in Batesville and the surrounding counties facing financial hardship, medical challenges, or significant life circumstances.

This form allows you to nominate a family who would benefit from hope, healing, and meaningful time together through travel.

Nominator Information

(Your information will remain confidential and is used only if we need to follow up.)

First name

Last name

Organization (if applicable)

Phone

Relationship to Nominee

Family Being Nominated

First Name

Last Name

Phone Number (if known)

Email Address (if available)

Family Members (Names + Ages)

Please list all members who would be traveling

Tell Us About the Family

What challenges is this family currently facing? (Examples: medical, financial, life circumstances, etc.)

Why would this family benefit from a trip? How would time away make a meaningful impact on their lives?

Is there anything else you would like us to know?

Has the family been informed of this nomination?

Yes

Is there anything we should be aware of when contacting this family?

Verification

I confirm that, to the best of my knowledge, the information provided is true and accurate.

Signature

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Date

Month

Day

Year