Sponsorship Application Form

Name of Host Organization:

Host Contact:

Host Contact Email:

Name of Beneficiary (if different from host):

Name and Description of Sponsorship Event:

Event Date:

Location:

Expected Attendance:

Dress:

Will tickets be issued for this event?

Yes

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?

What is the primary focus of your organization?

Requested sponsorship amount?

Please itemize allocations of sponsorship funds.

Have you received support from SRHS in the past?

Yes

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

Please list incentives.

How will SRHS receive recognition as a sponsor?

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

Yes

Does a Spartanburg Regional representative serve on your board?

Yes

If yes, please provide the name of the individual.

CAPTCHA

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.