Community Sponsorship & Support Request

Community Sponsorship & Support Request
Organization Information
Organization Name
Organization Type
Primary Contact Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Event / Initiative Details
Event / Initiative Name
Event Date

MonthDayYear
Date
Brief description of the event or initiative
How does this initiative support the health, wellness, safety, quality of life, or long-term development of our community — including children and youth in Johnson County?
Examples may include physical safety, mental or emotional well-being, youth development, community connection, education, or access to resources.
Population Served
Who does this initiative primarily serve? (Select all that apply)
Type of support requested:
Amount requested (if financial)
For all monetary sponsorship requests, payment is made by check only.
To issue a check, your organization must:
- Submit a signed W-9
- Be approved as a verified vendor through our vetting process
Checks will not be issued without a signed W-9 and completed vendor verification.
W-9 Upload: Please upload a completed and signed W-9 form. This is required for all monetary sponsorship requests.

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Legal Organization Name
Enter the legal name exactly as it appears on the W-9.
Payment Mailing Address: Enter the address where the sponsorship check should be mailed.

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Payee Name for Check: Enter the exact name the check should be made payable to.
I certify that the information provided is accurate and understand that no monetary payment will be issued until all required documentation, including a signed W-9, has been received and vendor verification is complete.
If requesting in-kind support, please indicate the type(s) of support you are requesting:

Other
If Other (please describe):
How would JCHC be recognized or involved?
File Upload - Upload flyer, proposal, or supporting documents

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What happens next?
Our team reviews sponsorship requests on a rolling basis. You can expect an initial response within three (3) business days of submission.

If additional information is needed, a member of our team will contact you directly.
Should be Empty:

Community Sponsorship & Support Request

Organization Information

Event / Initiative Details

Population Served