Request for Event Sponsorship

To allow adequate time for committee review, we suggest submitting your request 4-6 months prior to your deadline. Once your request has been reviewed, you will be notified of the committee’s decision.

Organization Name

Name

Phone

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Name and Contact Information of Individual Making the Request

Reason for the request

Purpose

For requests to be considered for sponsorship, they must be for a specific event. Please provide event information below.

Name of event

Event location

Event date

If this request is internal to a UK or UK HealthCare department or group, please provide an unrestricted, discretionary cost center (can’t start with 121xxx) as well the GL Code. Please also provide a statement of approval to use this cost center from your department finance contact in the supporting documents section at the bottom of the form. These details are required prior to sponsorship review. If you are not requesting support for an internal group, please enter N/A.

Demographics of those served

Does your organization support an under-served, under-represented or diverse population?

Geographic reach

Attendance or participation

Does your organization directly impact UK and our students or UK HealthCare and our patients?

Yes

If yes, please describe in detail the impact.

Does your organization provide research funding to UK or UK HealthCare?

Yes

If yes, please describe the type of research and the dollar amount of funding, if applicable.

Have you worked with someone other than the Community Engagement Manager at UK or UK HealthCare who referred you?

Yes

If yes, who? Please briefly describe your relationship with this person.

Amount requested

If you are requesting a specific level of support, please indicate the amount here.

What is included in this sponsorship (e.g., seats at event, logo, ad, print or web recognition)?

Have you submitted any other requests from other departments within UK HealthCare or the University of Kentucky?

Yes

If yes, who?

Are you with a non-profit 501c3 organization?

Date decision is needed (we ask for at least 3 months to review given our UK HealthCare Sponsorship Committee schedule)

Note: Future consideration requires all organizations to report previous year's results along with submission. All requests will be evaluated based on alignment with UK HealthCare and/or the University of Kentucky strategic priorities.

Supporting documentation

Unlimited number of files can be uploaded to this field.
256 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.

CAPTCHA

Appointment

Doctor

MyChart

Request for Event Sponsorship