Third Party Event Proposal Form
Thank you for considering Kennedy Krieger Institute as the beneficiary of your event.
We look forward to working with you to create a successful event.
Please note: If you wish to sponsor an event on behalf of the Kennedy Krieger Institute, you must complete this application for review
by the Kennedy Krieger Foundation. Completion of this form does not guarantee approval.
Event Details
Event/Fundraiser Name: ______
Event Description: ______
______
Event Date (Rain Date): ______Start & End Time: ______
Projected Attendance: ______Capacity: ______Inside Outside
Event Location (Address): ______
______
Event website: ______
Will any other charitable organizations benefit from this event? (If yes, please name and describe how they will benefit)
______
______
How will the money be raised (donations, sponsorships, ticket sales, percentage of sales, etc.?)
______
What additional fundraising activities will take place at this event?
RafflesAuctionsDoor prizes
Other (Please describe) ______
Funds raised should be used for: Area of greatest need within the Institute
Other designation: ______
Is this event in honor of someone? (If yes, please provide their name)______
Has this event been held before? (If so, when?) ______
Contact Information
Please check one:IndividualBusiness/CorporationOrganization/Group
Name of Business/Organization: ______
Organization Address: ______
Organization Website: ______
Is your organization a registered charity in its own right? Yes No
If yes, what is your charitable registration number? ______
Contact Name: ______
Email: ______
Telephone: (Work) ______(Cell) ______
Preferred Method of contact: EmailWorkCell
Alternate Contact Name: ______
Email: ______
Telephone: (Work) ______(Cell) ______
Why did you choose Kennedy Krieger Institute as the beneficiary of your fundraiser? ______
______
______
Publicity & Promotion
Kennedy Krieger requires the review and approval of all materials that include our name and/or logo. Please check the type of promotional activity you will be involved in:
Press releases will be sent to: ______
Flyers will be distributed to: ______
Public Service Announcements will be sent to: ______
Other: ______
Other
Please provide a list of business you plan to solicit for gifts/sponsorships (if applicable):
______
______
______
______
Projected Expenses & Income
Costs projected: ______
Income projected: ______
Estimated donation: ______
Expected date of delivery of proceeds (Should be within 45 days of event): ______
What other support/services would you ask of Kennedy Krieger Institute?
Brochures and/or Institute/program collateral
Return envelopes for donations
Giveaways (limited quantities available)
Donation webpage
Event posting and link on Kennedy Krieger Events Page
Event promotion on Kennedy Krieger Institute’s Facebook Page
Other:______
______
______
Required Additional Documentation
Information regarding ticket prices, sponsorship levels & benefits, etc.
List of all individuals & organizations being solicited for Sponsorships and In-kind Donations
Proposed Budget: Income & Expenses
Signed: ______Application Date: ______
Please return the completed form to:
Attn: Special Events
Kennedy Krieger Foundation
707 North Broadway
Baltimore, MD 21205
443-923-7320 (fax) or .
If you have any questions regarding this application, please contact the Kennedy Krieger Foundation at 443-923-7300.