Community Sponsorships | 2023 Application

CaroMont Health Community Sponsorship Application

Please read all guidelines and have all supporting documents available prior to starting your application. Once started, the application cannot be saved.

Organization Name *

Organization Address *

Your Name *

Your Role/Title *

Your email address *

Your phone number *

Please tell us about your organization, including its mission, purpose, and any programs or services your organization provides. *

Event name *

Event date *

Event location *

What is the goal/purpose of your event? *

Is this the first time this event has been held? *

Yes
No

Is this event open to the public? *

Yes
No

What is the expected attendance at your event? *

What is the expected community impact of your service or event? *

Sponsorship amount requested *

Percent of funds that directly impact organization's charitable purpose *

Please itemize allocation of sponsorship funds. *

How many other sponsors will be involved in this event? *

Will CaroMont Health be the exclusive healthcare partner?

Yes
No

How will CaroMont Health receive recognition as a sponsor? *

Supporting Documents

Proof of Non-Profit Status

Program Information

Sponsorship Collateral

Event Marketing Plan