Partnership Inquiry Form

Partnership Inquiry Form

Interested in having Impulse Group DC partner with or sponsor your event? Please complete this form with as much detail as possible. Submissions must be received no less than 60 days before your event to allow time for review, approval, planning, and coordination.
Applicant Name*

First NameLast Name
Contact Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Contact Email*
example@example.com
Organization Name (if applicable)
Social Media Handles
Tell us about yourself or your organization*
Date of Event*

MonthDayYear
Date
Title of Event*
Purpose of Event*
Which Impulse Group DC pillar aligns with this event?*

Sexual HealthMental HealthHarm ReductionSocial Activism
Is this an in-person or virtual event?*

In-personVirtualHybrid
Anticipated Number of Guests*
What are the demographics of your targeted audience for this event?*
Will there be an admission fee for this event?*

YesNo
How will the event be marketed?*
Would you like HIV/STI testing and/or other screenings to be provided at your event?*

HIV testingSTI testingOther screeningsNo screenings requested
What type of support are you requesting from Impulse Group DC?*

Financial SponsorshipTabling/Resource DistributionMarketing/Social Media SupportPanelist/Speaker/ModeratorOther
What is the amount of funding you are requesting from Impulse DC? (Please use N/A if there is no funding request)*
Elaborate on the role you envision for Impulse DC in your event*
What will Impulse Group DC receive in exchange for partnership or sponsorship?*
Examples: logo placement, social media mentions, speaking opportunity, vendor table, tickets, email inclusion, stage acknowledgment, etc.
Please upload any additional information, documents, files, proposals, or other materials related to your event.

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