Questions about your special event? Please contact the Foundation representatives below.
Individuals, Community Groups, School and Students: Kenna Scaife Corporations and Businesses: Niki Shafer On Our Sleeves: Morgen Spon
Questions about your special event? Please contact the Foundation representatives below.
Individuals, Community Groups, School and Students: Kenna Scaife Corporations and Businesses: Niki Shafer On Our Sleeves: Morgen Spon
Questions about your special event? Please contact the Foundation representatives below.
- Individuals, Community Groups, School and Students: Kenna Scaife
- Corporations and Businesses: Niki Shafer
- On Our Sleeves: Morgen Spon
Required Event Information
Part 1: Contact InformationFirst Name
Last Name
Are you an
Individual Community Group Corporation Corporate Foundation Kinder Key Member Pleasure Guild Member TWIG Member Other
Company or Organization Name (if applicable)
Name as you would like to be recognized (Do you want the event name, organization name, individual name, etc.?)
Street Address
City
State
Phone Number
Fax Number
Email Address
Part 2: Event/Promotion InformationWebsite
Name of Proposed Event or Promotion
Proposed Date(s)
Event Description
Are there any other beneficiaries of this event or promotion?
Yes
No
If yes, name of other organization(s)
Location of Proposed Event or Promotion
Projected Attendance
Are you fundraising for a special area or the area of greatest need? The fund or program that you select must currently exist. For funds or programs not listed below, please select “other” and specify in the comment box below.
Area of Greatest Need Behavioral Health Behavioral Health Education Behavioral Health Research Cancer Cancer Research Genomics Medicine Healthy Neighborhoods Healthy Families Heart Center Hospice/Homecare Research Other
Other fund or program not listed in the dropdown menu:
Briefly explain how funds will be raised (ticket sales, pledges, sponsorships, auction, etc.)
Does the event require a license or permit?
Yes
No
What is your plan for publicity and promotion?
Press Releases
Promotional Flyers
Public Service Announcements
Internet Presence
Other
Please list the anticipated recipients of the above publicity and promotion plan
List businesses, other than your own, that you plan to solicit for donations (cash, service or items)
If you click “Submit” and do not receive the confirmation screen, please scroll to the top of the form to see which fields need updated. Your form has been successfully submitted when you receive the confirmation screen. Thank you!
Part 1: Contact Information
Part 2: Event/Promotion Information
Are there any other beneficiaries of this event or promotion?
Yes
No
Does the event require a license or permit?
Yes
No
What is your plan for publicity and promotion?
Press Releases
Promotional Flyers
Public Service Announcements
Internet Presence
Other
Part 3: Financial Information
Remember to limit expenses to no more than 50% of gross proceeds. All donations must be made within 30 days of completion of the even or promotion.
Does your company plan to match the amount you raise?
Yes
No
If you click “Submit” and do not receive the confirmation screen, please scroll to the top of the form to see which fields need updated. Your form has been successfully submitted when you receive the confirmation screen. Thank you!
