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    Sponsorship Request Application

    Please note that we are only accepting applications for events occurring July 2024 through June 2025

    *All applications must be submitted by August 4th, 2024, by 11:59pm EST.
    All applicants will be notified of outcome by Fall 2024.

    Investing and Partnering for the Future

    We realize no agency can effectively confront all community issues alone. That’s why we seek promising partnerships with hundreds of service and social organizations that reach out to families and individuals in need.

    Sponsorship and contribution requests

    Though we admire all worthy projects, we receive far more requests than we can grant. Given the volume of important causes, we believe it’s essential to have clear, meaningful guidelines for evaluating requests in accordance with our mission, and those of our partners, priorities for giving, geographical locations and budget capacity.

    To be eligible, your organization must offer one of the following:

    • Programs that benefit communities living with or affected by HIV/HepC/STIs in our service areas.
    • Programs that provide food, shelter, healthcare, or basic services for those living with or affected by HIV/HepC/STIs.
    • Projects that satisfy unmet needs in the community without duplicating other HIV/HepC/STIs programs or services.
    • Projects or programs that support health equity for all.
    • Initiatives that align with CAN Community Health’s mission, vision, and values.

    Additionally, all organizations must have:

    • 501(c)(3) tax-exempt status. Please Note: While organizations that do not hold a 501(c)(3) status may not be automatically disqualified, those with a 501(c)(3) status will be prioritized. Organizations without a 501(c)(3) status will be reviewed separately by the marketing department.
    • Program requests that clearly define and measure goals.

    Application Guidelines:

    • All requests for contributions must be submitted using the form provided below.
    • There is no need to follow up on the status of your application. All organizations will receive confirmation after funding decisions have been made.
    • Organizations receiving gifts of $1,000 or more are required to submit a progress report within 30 days of the completion of the event, program or project.
    • Sponsorships are granted for one year (July 2024 - June 2025) unless otherwise specified. Recipients are responsible for requesting renewed support, with each request considered anew and compared with other requests received for that year.
    • All granted sponsorships for any and all projects, programs, and events must take place before June 2025.

     

      ORGANIZATION INFORMATION

      Organization's Legal Name (required)

      Organization's DBA (if applicable) (required)

      Federal Taxpayer ID Number (required)

      Tax Status (required)

      For-ProfitGovernmental501(c)(3)501(c)(6)

      Business Street Address (required)

      City (required)

      State (required)

      Zip Code (required)

      Which CAN service area is your organization located? (required)

      Please Note: Sponsorships will only be granted to organizations located within a CAN service area.

      Year Founded (required)

      Organization's Yearly Revenue(required)

      Mission Statement (required)

      Number of people served annually (required)

      Website or URL (if available)

      Please enter your organization's website address. This should include http:// or https://. For example, the website address of CAN is https://www.cancommunityhealth.org - You may provide a social media site if your organization does not have a website.

      CEO/Executive Director/Board Chair Full Name (if applicable)

      CEO/Executive Director/Board Chair Email (required)

      EVENT/PROJECT INFORMATION

      Project/Event Contact Name (required)

      Event/Project Contact Phone Number (required)

      Event/Project Contact Email (required)

      Date Funds and/or Services are Needed (required)

      Is this a first-time program/event or annual? (required)

      First TimeAnnual

      Event date, time and location (if applicable)

      Describe the sponsorship level requested-dollar amount (required)

      Has CAN Community Health provided a sponsorship to your organization in the past?

      YesNo

      If so, provide the date of the event, level of sponsorship and outcome:

      What sponsor benefits will be provided? (Mark all that apply)

      BannerBooth/TableComplimentary ticketsLogo visible at eventLogo on all marketing materialsCAN offer free testing at eventOther

      If "Other" please describe:

      Project Description

      Using 2-3 sentences, describe your project – including the benefits of the project, length of time for the project to be completed, budget, other sources of income, etc. If requesting in-kind services, please provide detailed description of services requested. (required)

      Project Mission

      How will your project help to improve the health of residents in our region? (required)

      How does this request support the mission of CAN Community Health? (required)

      * Programs that benefit communities living with or affected by HIV/HepC/STIs in our service areas.
      * Programs that provide food, shelter, healthcare, or basic services for those living with or affected by HIV/HepC/STIs.
      * Projects that satisfy unmet needs in the community without duplicating other HIV/HepC/STIs programs or services.
      * Projects or programs that support health equity for all.
      * Initiatives that align with CAN Community Health’s mission, vision, and values.

      Beneficiary

      Identify the individuals or groups that will benefit from the requested contribution/sponsorship. Include location/county served and the anticipated number of individuals that will benefit or receive services as a result of the project. (required)

      Whom will the contribution/sponsorship benefit? (required)

      Project Goals and Outcomes

      What will the project accomplish? How will you measure success at accomplishing stated goals? (required)

      List of goods/services (required)

      If this request is granted, list any goods or services that CAN Community Health and/or its team members will receive (i.e. dinner tickets, advertisements, etc). Please include monetary value for tax reporting purposes.

      DOCUMENTATION

      Current W9 (required)

      Non-Profit Verification (if applicable)

      Event/Project Sponsorship Package(if applicable)
      **** Please note, we may be interested in supporting your event, but not at the level you requested. Please provide the Event/Project Sponsorship Package outlining sponsorships levels, benefits, cost, etc. for the event. This is required for your application to be reviewed.

      Please upload supporting document (if applicable)

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