GHN Sponsorship Application Form
Please refer to the Sponsorship Request Policy for eligibility requirements and conditions before completing the application. You can also find the Sponsorship Facts and Questions sheet HERE.

Please confirm your organization’s exempt status under Internal Revenue Code 501 (c) (3) by providing the IRS determination letter via email to info@greaterhealthnow.org

Please direct any questions about your application to info@greaterhealthnow.org

Thank you for considering GHN to sponsor your event.   
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INTRODUCTION
Organization Name (Applicant) *
Mailing Address: *
Phone Number *

Point of Contact Name:

 *

Contact Email:

 *

Today's Date:

 *
APPLICATION

1. Please briefly describe your organization and its mission.

*
2. Please describe your organization’s relationship with GHN, if any. Please include all current and/or past commitments.
*
PLEASE DESCRIBE YOUR EVENT
A. Description, goal/outcome, background, and history
*

B. Date and location (include the start date and duration of the project)

*

C. Target audience and demographics, include expected number of attendees or program participants (if applicable)

*

D. Existing sponsors or partners

*
E. The benefit and/or long-term impact to the community
*
F. How the work will be facilitated   
 *
G. Sponsorship levels available and the costs associated with each level (if applicable)   
 *
H. Total budget. Please download the budget worksheet HERE.

Once completed, please email the budget worksheet to info@greaterhealthnow.org
5. Explain your organization’s post-evaluation process for the event (please refer to requirement in Sponsorship Request Policy).   
 *
6. Why should GHN sponsor this event? Please list any GHN project areas it is related to:

o Health-Related Social Needs
o Community-based Care Coordination
o Workforce Development
o Promotion of Health Equity
o Behavioral Health Initiatives
 *
7. What potential branding opportunities would be available for GHN? Please explain the marketing materials that will exist with GHN’s logo or name (if applicable).   
 *
8. What amount of sponsorship dollars is your organization requesting? Would you be able to accept less than your requested amount?   
 *
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