Nationwide Children's Hospital:: Survey - On Our Sleeves Event Application

On Our Sleeves Event Application

Questions about your special event? Please contact the Foundation representatives below.

Morgen Spon: Individuals, Community Groups, School and Students

Niki Shafer: Corporations and Businesses

Your adherence to the On Our Sleeves Event Guidelines is required and we encourage you to refer to them during your planning process.

Contact Information

Field Is Required First Name

Field Is Required Last Name

Field Is Required Email

Field Is Required Are you an

Field Is Required Company or Organization Name

Name as you would like to be recognized (Do you want the event name, organization name, individual name, etc.?)

Street Address (Maximum response 255 chars, approx. 5 rows of text)

City

Field Is Required State

Zip

Event/Promotion Information:

Name of Proposed Event or Promotion

Event Dates:

Event Description (please include how funds will be raised): (Maximum response 255 chars, approx. 5 rows of text)

Website: (Maximum response 255 chars, approx. 5 rows of text)

Social Media:

Are there any other beneficiaries of this event? If so, please list below (Maximum response 255 chars, approx. 5 rows of text)

Event Location: (Maximum response 255 chars, approx. 5 rows of text)

Projected attendance:

Does the event require a license or permit?

What is your plan for publicity and promotion? (Maximum response 255 chars, approx. 5 rows of text)

List businesses, other than your own, that you plan to solicit for donations (cash, service or items) (Maximum response 255 chars, approx. 5 rows of text)

Does your company or employer plan to match the amount raised?

Financial Information:

Remember to limit expenses to no more than 50% of gross proceeds. All donations must be made within 30 days of completion of the even or promotion.

Anticipated Total Revenue

Anticipated Total Expenses

Anticipated Total Donation

Please list an estimate of individual expenses below (food and beverage, advertising, prizes and gifts, venue, etc.): (Maximum response 255 chars, approx. 5 rows of text)

How will you transmit your donation to Nationwide Children's Hospital?

Field Is Required I have read, understand, and agree to abide to the Event Guidelines