Belinda F. Puntanen, CCC, Founder & Executive Director                                     

Debra McLean, Co-Founder & Northeast Regional Executive Director

Tim Venables, International Executive Director                                  

Larry Hanshew, Treasurer and Western USA Regional Executive Director

Theresa Martin, Southeast USA Regional Executive Director                

Pamela Wright, Eastern Regional Executive Director

Three Ways to Give:

Make a 36 month Pledge.  MAKE A 3 YEAR COMMITMENT TO THE COALITION AS OUTLINED BELOW FOR EASY REFERENCE:

Give a Cash Gift.                 MAKE A ONE-TIME GIFT OF ANY AMOUNT

Give Gifts-in-Kind.           You may donate stocks, securities, property or other assets. 

                                             Also, some companies offer matching gifts for their employees’ charitable donations. 

*Everyone fulfilling a pledge of $2,500.00 or more will receive a Winner’s Circle Plaque. 

You can also Sponsor-a-Child or Sponsor-a-Family in honor

of your family or friend or in memory of a loved one.

YES, I want to make a 3-year commitment to FREE THE CHILDREN COALITION,

Please check ONE of the following:

q       I have not made a previous pledge and want to make a new 3 year pledge in the amount of $____________

q       I already have a sponsorship pledge and feel God challenging me to increase my pledge amount by

       an additional $___________

q       Enclosed is my one-time gift of $_______________

q       PLEASE CONTACT ONE OF THE FOLLOWING INDIVIDUALS

       BELINDA PUNTANEN     @ 757-927-9826

       PAM WRIGHT                  @ 910-454-4589

       DEBRA MCLEAN             @ 518-280-4514

FOR ANY DONATIONS OR GIFTS TO BE MAILED.

Contributions to our Legal Support Staff may be made @  http://legaladminresources.webs.com/payonline.htm

This is an application for:        ________ Board Membership _________Sponsor Partnership

NAME:__________________________  SOCIAL SECURITY #:______________________

DATE OF BIRTH         /          /

ADDRESS:____________________________________________________________________________CITY_______________________________________        STATE____________           

ZIP_______________

HOME PHONE________________WORK PHONE_________________CELL PHONE_______________

E-MAIL___________________________@_________________.__________

Church affiliation:___________________________              Political Affiliation:___________________

Do you have any pending or past criminal history?  Please be advised that an affirmative response in this matter will not exclude you from being in the organization or a part of these works.  . ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

What ORGANIZATIONS have you ever been a part of? ____________________________________________________________________________________

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Please explain why you would like to be a part of this organization?

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Please describe your talents and how you could be a valuable asset to this organization:

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

What are you willing and able to do to prosper this organization?

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Are you a property owner?_____________

Have you made all assignments of your property properly in a living will?___________

Are you willing to market and participate in yearly fundraising activities**?   ____________

**It is a requirement of this organization that all Board Members participate in and sponsor one (1) yearly fundraising event that has been approved by the Board of Directors or its Founder.  Sponsor partners may participate in fundraising but it should be noted that as in any business, whether a non-profit organization or for profit organization, that fundraising, i.e., marketing, is a necessity to the life and progress of any outfit.  It is a necessary function and is required by all members in some form or fashion.  Partners are appreciated as they have already pledged a monetary or in-kind service or other form of tangible asset to the betterment and prosperity of this organization.  We appreciate you and thank you.

Please attach your resume to this application with references, personal and professional (at least 3 each) with contact information for your references

********YOU MAY REQUEST THIS APPLICATION @ freethechildrencoalition@yahoo.com