A Secret Santa is giving away $1 million this holiday season. Nominate someone in need here.

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Status

Make sure you've read the instructions above carefully.

Nominee's name*

First Last

Nominee's address

Street Address Address Line 2

City where nominee lives (must be in east Idaho)*

Nominee's phone number*

Nominee's employer (if applicable)

Name of nominee's spouse (if applicable)

First Last

Employer of nominee's spouse (if applicable)

How do you know the nominee?*

Why you're nominating this person*

Be very specific and give as many details as you can. We get thousands of nominations, so explain why yours is extra special. DO NOT INCLUDE EMOJIS, WHICH WILL RESULT IN OUR SYSTEM REJECTING YOUR ENTRY!

What does this person need?*

Please list specific needs of the nominee.

Have any fundraisers been planned for the nominee?*

Yes

(Answering yes does not automatically disqualify the nominee.)

Please describe the fundraisers. (This helps Secret Santa know how he can best help.)*

Who can tell us more?

Besides you (we'll ask for your info later), who can we talk to so we can find out more about the needs of the person you're nominating?

List at least two people (not you) outside of nominee's family, such as a religious leader, work supervisor, school or community leader, who can tell us more about the nominee's circumstances.

First reference

Remember: references aren't you or the nominee.

Name of first reference*

First Last

What is the relation of the first reference to the nominee?*

First reference's phone number*

First reference's email address

Second reference

Name of second reference*

First Last

What is the relation of the second reference to the nominee?*

Second reference's phone number*

Second reference's email address

Third reference

A third reference is optional but helpful.

Name of third reference

First Last

What is the relation of the third reference to the nominee?

Third reference's phone number

Third reference's email address

About you

Now please tell us about yourself.

Your name*

First Last

Your address*

Street Address City State / Province / Region ZIP / Postal Code Country

Your phone number*

Your email address*

Have you nominated someone for Secret Santa before?*

Yes

List people you have nominated before:*

Do you personally know anyone who has received a gift from Secret Santa before?*

Yes

List the people you know who have received gifts from Secret Santa:*

URL

This field is for validation purposes and should be left unchanged.