AHF Advocacy - Organizational Sponsorship Request
Please use this form to request AHF Advocacy sponsorship or partnership support for a program, initiative, or general operating support. We review requests on a rolling basis and respond within 10 business days. For sponsorship of a specific event, please use the Event Sponsorship Request form instead.
Before you begin
I understand that submitting this form is a request for consideration and not a guarantee of sponsorship.
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I understand that submitting this form is a request for consideration and not a guarantee of sponsorship.
Your organization
Organization's legal name
*
Doing business as (DBA), if applicable
Organization type
*
Please Select
501(c)(3) nonprofit
Other nonprofit
Fiscally sponsored project
Community group or coalition (not incorporated)
School, college, or university
Government or public health agency
Faith-based organization
For-profit business
Individual organizer
Other
If Other, please specify
Name and EIN of your fiscal sponsor
Federal Tax ID (EIN)
Year founded
Organization's mission statement
Number of people served annually
Website
Organization mailing address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Primary contact name and title
*
Contact email
*
example@example.com
Contact phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Executive Director, CEO, or Board Chair - name and email
Have you previously discussed this request with anyone at AHF?
Yes
No
Please list the AHF staff, departments, regions, or affinity groups you contacted
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Next
Your request
Is this request for a specific program or initiative, or for general operating support?
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A specific program or initiative
General operating support
Both
Program or initiative name
Please describe the program, initiative, or how the funds would be used
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Period this request covers
Amount requested (USD)
Date funds are needed
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Payee name, as it should appear on payment
Is this a one-time request or an ongoing partnership?
One-time
Ongoing
If ongoing, what term are you proposing?
Populations served - who benefits, geography, and estimated number of people reached
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How does this work advance AHF's mission?
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AHF's mission is cutting-edge medicine and advocacy, regardless of ability to pay. AHF Advocacy supports work that expands HIV and STI prevention, testing, and care; reduces stigma; and advances the health and rights of communities affected by HIV, including harm reduction, housing, and sexual health access.
Confirmed sponsors, community partners, or vendors
How will success be measured, and what will be reported to AHF?
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Next
Recognition and visibility
How would AHF be recognized? Check all that apply
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Logo on your website
Logo in your annual report
Recognition in newsletters or email
Social media posts naming AHF
Recognition at your events
Named sponsorship of a program
Seat on an advisory group or committee
Referral pathway to AHF services
Space for AHF's Mobile Testing Unit at your sites
Co-branded materials
No recognition, this is a donation request
Other
Please provide details for the benefits selected above (placement, frequency, duration, and any artwork deadlines)
Are you also requesting non-financial support from AHF? Check all that apply
On-site HIV and STI testing
Educational materials and condoms
An AHF speaker or subject-matter expert
Staff volunteers
Referral partnership
None
Please describe the non-financial support requested
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Next
History, documents, and certification
Has AHF sponsored your organization before?
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Yes
No
Not sure
Please provide the date, amount, and outcome of the previous sponsorship
Upload your proposal or sponsorship packet
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Upload a completed W-9
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Upload your IRS determination letter
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Upload your most recent annual report or financial statement
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If AHF is unable to fund this request, would you consider another form of partnership?
Yes
No
Would like more information
Please describe the type of partnership you would consider
Additional information
Certification
*
Certification
*
The information in this request is accurate to the best of my knowledge
Our organization does not discriminate on the basis of race, color, national origin, religion, sex, gender identity, sexual orientation, age, or disability
If sponsored, we will provide a brief report on the use of funds within 30 days of the end of the funding period
Signature
*
Name and title of authorized signer
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit Request
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