Application for Sponsorship
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Contact person completing this applicaiton:
Contact person title:
Contact person phone number:
Contact person email:
Funding amount requested:
What is the population you plan to target? Please be specific.
Cardio vascular disease
Access to behavioral health services
Other, please specify
What is your project's or organization's specific plan to help solve or address the TAMC objective checked above.
Has your organization received funding from TAMC in the past
If yes, what amount and when:
If yes, please describe the last funded project and its outcome.
Briefly describe your current project/program/activty or reason for the request.
How many people do you plan to reach?
What geographic area does your project/organization target?
Are you requesting inkind support? For example WOW, Printing, Food/Refreshments, Speakers/Presenters, etc
Any additional information