Sponsorship Application Form

Name of Host Organization:

Host Contact:

Host Contact Email:

Your Name:

Your Email:

What is the primary focus of your organization?

Name of Beneficiary (if different from host):

Requested sponsorship amount?

Have you received support from SRHS in the past?

Yes

If yes, what year and what was the monetary commitment?

Event Date:

Name and Description of Sponsorship Event:

Location:

Does a Spartanburg Regional representative serve on your board?

Yes

If yes, please provide the name of the individual.

How will SRHS receive recognition as a sponsor?

Expected Attendance:

Please itemize allocations of sponsorship funds.

Please select a sponsorship category that your request represents.

If you selected other, how does this sponsorship program align with the mission and vision of SRHS?

Are you willing to provide SRHS with collateral, pictures or links showing how our brand was represented?

Yes

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