Instrument Donation Program/Sponsorship Pre-Qualification Form

Instrument Donation Program/Sponsorship Pre-Qualification Form

CONTACT INFORMATION

1. Name of institution:

2. Name of organization/team:

3. Address:

4. Contact person:

5. Email address:

6. Phone number:

7. Name of the person that completed this form
(if different from contact person):

· Role/position:

8. Name of sponsoring faculty member (if applicable):

9. Project/team website/Twitter/YouTube/Facebook:

PROJECT

1. Please specify the type of instruments, model number(s) and quantities you are asking B&K Precision to donate:

2. Describe the project/application that would make use of the requested instrument(s) and why it/they would be critical to the success of the project. Please provide some background information about your project: Grade level of students participating, reason for choosing this project and why it is important to you/your institution, name(s) of project lead(s).

3. Tell us about any other test equipment already dedicated to this project:

4. How familiar are you with the type of instruments you requested? Is it likely you would request technical support from B&K Precision?

OTHER INFORMATION

1. Why did you choose B&K Precision to sponsor/donate test equipment? Did you also ask other companies to donate the same type of instrument(s)?

2. Have you used B&K Precision instruments before? If so, what type of instruments and/or model number(s), and what was the application?

3. Describe what other test equipment is available to you (at your department/lab).

4. Would you be willing to provide us with photographs, an article, or video, as well as to grant us the right to use such material for marketing/advertising purposes?

5. Would you be willing to allow use pf personal names, and/or the name of your institution and/or club, team, or organization for marketing/advertising purposes?

6. What kind of sponsorship benefits, if any, would you be able to offer?

Please email this form via postal mail, or via email to .

Thank you for taking the time to complete this form, you will hear from us shortly. If the pre-qualification is approved, we will send you an agreement explaining our exact requirements for participation in our instrument donation program.

Education Donation Program

B&K Precision Corporation

22820 Savi Ranch Parkway, Yorba Linda, CA 92887

Tel: (714) 921-9095, Fax: (714) 921-6422