This application form will assist Best Start Communities ...



1781175-58102500Best Start/Communications and MarketingCOMMUNITY SPONSORSHIP APPLICATION FORMThis application form will assist Best Start Communities and Communications Officers to decide whether and how to support an event.Part One: Agency and Event Information Contact Name: Agency Name: Address:Phone:Email: Requested Amount:Event Name: Date and Time of Event: Pre-planning Meeting Dates and Times:Event Set-up Time: Breakdown Time of Event: Location of Event: Anticipated Total Number of Attendees:Anticipated Total Number of Attendees with Children Ages Prenatal to 5: Anticipated Attendees Profile/Demographics: (families, ethnicities, ages, geographic reach): Debrief Meeting Time and Location: Best Start Community or Communities Served by This Event:Part Two: What is the Type of Event? Health FairResource FairEducational ForumConferenceOther - please explain:Part Three: Event Demographics and Opportunity Who else is sponsoring the event? Are you receiving financial support for this event from other First 5 LA funding sources? Is this an annual event? If so, how many years has it existed? Is there a fee to participate?How does your event relate to the following Best Start focus areas? Family Capacities— parents and caregivers are knowledgeable, skilled, resilient and nurturing Social Connections—families participate in positive social networks that provide support in times of need Concrete Supports—families can obtain the help they need and have access to servicesWho is your target audience? Does the community event support First 5 LA’s current priority goal to ensure that every child enters kindergarten ready to succeed in school and life? Does it have specific activities for families with children ages prenatal to age 5?Part Four: Communication LogisticsHow will potential community participants be notified of your event? (Fliers, in-person outreach, schools, social media/website calendar posts, etc.) What other types of promotion will you do for the event? How can Best Start partner with your agency to promote the event (add to website, social media platforms, fliers, etc.)? How can Best Start Community Partnership members volunteer during your event? What will our role be at the event? Part Five: First 5 LA Staff Contact Please indicate your Program Officer (PO) and Communications Officer (CO) for your Best Start Community: PO Name: CO Name: PO Email: CO Email: PO Phone Number: CO Phone Number: Part Six: DocumentationThe following is required documentation that must be submitted with your application: W-9 FormInvoice from your agency with requested sponsorship dollar amountInsurance certificate (if event requires it) 01200150TO BE COMPLETED BY FIRST 5 LA ONLYDate Received: Notes: ................
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