Sponsorship Request

CONTACT INFORMATION

Organization's formal name

501(c)3?

Yes
No

If yes, please submit a copy of your 501(c)3 in step 2.

Organization's mailing address

City, State & Zip Code

Name of organization's lead executive

Name of person completing this application

Phone number
XXX-XXX-XXXX please include extension if applicable.

Contact email address

Brief organizational overview and mission

Number of people served by entire organization, annually

Total amount of funds the organization is requesting
($)

Deadline for receipt of funds:
Must be at least 60 days after receipt of request

Deadline for decision:

List of current Board of Directors
Including professional affiliation. Please note if they are a Greylock Employee/Retiree.

Has your organization adopted a policy/statement of non-discrimination?

Yes
No

Organization's diversity statement
Please describe how you are committed to being inclusive.

Which of Greylock's priority funding areas does your organization fall under?

Education & Financial Literacy
Health & Human Services
Economic Development
Arts & Culture

Areas of focus:

Check all that apply.

SPONSORSHIP REQUEST

Title of program/event(s):

1.) Title, Date & Estimated # of participants

Amount requested for this program

2.) Title, Date & Estimated # of participants

Amount requested for this program

3.) Title, Date & Estimated # of participants

Amount requested for this program

Short description of program or event(s)
Including dates, times, locations if applicable

Top results expected to achieve from program

How does this program decrease the wealth gap within its geographical area?

How will partners for this request be recognized?

Please check all that apply.

Please provide advertisement details
ie. ad sizing options for print and/or digital

Do you have giving levels?

Yes
No

If yes, please list here or provide attachment below.

Other recognition:

Please list other anticipated funding sources and amounts

Is there an opportunity to engage Greylock employees?

Yes
No

If yes, please describe details

What other non-profits do you collaborate with and describe your relationship?

If Greylock Federal Credit Union needs to provide a banner for the event, please provide the name and phone number of the person in your organization whom will be responsible for the banner pick-up and return.

By checking this box I certify that: a) the information contained in this application is accurate to the best of my knowledge; b) I have the authority to submit this request on behalf of the organization; and c) I understand and agree to providing supporting documentation upon request.

Step 1: Fill out Sponsorship Request Form

Step 2: Upload Supporting Documents