Sponsorship Request

Application Date: *

Sponsorship Request: *

Financial
Financial and value in-kind
Value in-kind

Amount Requested: *

Scope *

Regional
National

If regional, provide location:

Contact Information

Name of Organization: *

Contact Name: *

Address: *

Postal Code: *

Phone: *

Fax:

Email Address: *

Website:

Where is your organization based? *

Please indicate the type of organization this is: *

Not-for-profit
Charitable
For profit

If applicable, please provide the non-profit or registered charity number:

Please provide a short paragraph or two describing your organization, including mission or mandate. *

Event Details

Project or event name: *

Please provide a brief description of the project/event and explain how it aligns with our sponsorship program’s goals and objectives: *

Event Dates: *

Other Category

What group(s) will this initiative directly impact? *

Indigenous
Youth
Women
Other:

Other Group

How will they benefit? *

What is the anticipated attendance? *

What is the anticipated age of guests/participants? *

What is the demographic profile of your audience? e.g.: age, income, profession etc. *

Is this a ticketed event? *

Yes
No

Cost per ticket:

Where to purchase:

Is there an opportunity for APTN to present an award, workshop or introduce a guest speaker? *

Has APTN sponsored your event previously? If so, please indicate when and sponsorship details: *

Please indicate all other sponsors that are involved with or supporting your event or program: *

Sponsorship Benefits

Please indicate the benefits for the specified level and any unique opportunities available to APTN. *

Please attach Proposal (.pdf or word doc):

Signing Authority

Affirm checkbox

I affirm that the information provided in this application, including documents provided, is accurate and complete. *

Checklist

Please review the checklist. Any incomplete applications will result in a delay of processing and/or rejection.

Checklist Options

The Application form is completed and affirmed.
Proposal attached (.pdf or word doc)