External Organization Request for Partnership/Space
All requests must be received 2 MONTHS IN ADVANCE of the program to be considered.
About Your Organization
Program/Organization Name
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Program/Organization Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Is the organization a registered 501c3 nonprofit?
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Yes
No
If "No" please explain
Has the Muhammad Ali Center hosted an event for this organization in the past 12 months.
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Yes
No
If yes, please explain:
Organization's Mission Statement.
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Organization Website
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Organization's Social Media Handles
*
About the Proposed Partnership Program
Program Title
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Description of Program
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Program of Contact Name
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First Name
Last Name
Program of Contact Email
*
example@example.com
Program Contact Phone Number
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Please enter a valid phone number.
Program Requested Date 1 (please note that the Center is closed on Tuesdays)
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-
Month
-
Day
Year
Date
Program Requested Date 2 (please note that the Center is closed on Tuesdays)
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-
Month
-
Day
Year
Date
Program Requested Time
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Anticipated Number of Attendees
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Description of Audience
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Who will be in attendance
What type of Audio/Visual will be required?
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What type of financial donation/support are you requesting? Our average rental costs range from $1000-$5000 based on space and date.
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Full In-Kind Donation of Event Space
Partial Donation of Space (Organization can provide a partial rental fee)
Organization will provide full rental fee
Please explain
Does the program require catering? Please note that the Ali Center has an approved list of licensed caterers. All events are required to select a caterer from this list.
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Yes
No
If yes, please describe your catering needs.
What type of media/press support will your organization provide for this program?
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How will Ali Center staff members be involved in this program? Is a representative of the Center invited to speak? Please provide details.
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How does this program align to the mission of the Muhammad Ali Center-"To mobilize the legacy of Muhammad Ali to foster respect, inspire the next generation of changemakers, and to promote social justice" ?
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I understand that completing this form does not constitute a partnership agreement with the Muhammad Ali Center. I understand that the Muhammad Ali Center will consider this request and will respond with an answer within a timely manner.
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Submit
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