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Fairbanks/Hope Academy Sponsorship Request Form
Does a Fairbanks/Hope Academy Board Member or Leadership Staff Member support this request?
*
Yes
No
Does the request align with the mission of Fairbanks or Hope Academy?
*
Yes
No
Does this request support Fairbanks and/or Hope Academy?
*
Yes
No
Requestor's Name
*
First Name
*
Last Name
*
Requestor's Phone Number
*
Requestor's Email
*
Requestor's affiliation with Fairbanks/Hope Academy:
*
Outside Organization
Board Member
Volunteer
Alumni
Employee
Other:
Other Value
Requesting Support from:
*
Fairbanks
Hope Academy
Information about the organization requesting support
Organization Name
EIN #
Address
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands (US)
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces (the) Americas
Armed Forces Europe
Armed Forces Pacific
Army Post Office (U.S. Army and U.S. Air Force)
Fleet Post Office (U.S. Navy and U.S. Marine Corps)
State
ZIP Code
Phone
Contact Name
First Name
Last Name
Email
Details of request
Event/Activity Name
Date/Time of Event/Activity
https://fairbanks-nfknc.formstack.com/forms/images/2/calendar.png
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
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31
Year
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
Hour
01
02
03
04
05
06
07
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09
10
11
12
Minute
:
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AM/PM
AM
PM
Anticipated number of people served/attending
0 - 50
51 - 100
101 - 200
Other:
Other Value
Event/Activity Location
Sponsorship Request Amount
Amentities/Benefits of Sponsorship
Board/Leadership Team member name(s) in support of this request
How does this request align with the mission of Fairbanks or Hope Academy?
Does this request require Fairbanks/Hope Academy staff participation/attendance (ie: agency fair, dinner/luncheon, etc.)?,
Yes
No
If so, please explain and include Fairbanks/Hope Academy staff who will be participating, if known:
Does this request require Fairbanks/Hope Academy marketing materials?
Yes
No
If yes, please provide desired quantity and a description of the specific materials (ie: brochures, giveaways, etc.)
Additional information you would like us to know regarding this request
Requestor's signature
[clear]
Use your mouse or finger to draw your signature above
Date/Time
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Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
Hour
01
02
03
04
05
06
07
08
09
10
11
12
Minute
:
00
01
02
03
04
05
06
07
08
09
10
11
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13
14
15
16
17
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19
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21
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30
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39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
AM/PM
AM
PM
First Approval
Comments
Approved
Yes
No
Signature
[clear]
Use your mouse or finger to draw your signature above
Second Approval
Comments
Approved
Yes
No
Signature
[clear]
Use your mouse or finger to draw your signature above
Third Approval
Comments
Approved
Yes
No
Signature
[clear]
Use your mouse or finger to draw your signature above
Final Approval
Comments
Approved
Yes
No
Signature
[clear]
Use your mouse or finger to draw your signature above
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