Application for Community Fundraising Events

Sponsoring Organization*

Sponsor Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Contact Name*

First NameLast Name

Contact Job Title*

Phone Number*

Please enter a valid phone number.

Email*

example@example.com

Name of Event*

Event Date*

Date

Event Hours*

Hour Minutes

AM/PM Option

Until

until

Hour Minutes

AM/PM Option

Total 0.0

Location*

Open to the Public?*

YesNo

First Time Event?*

YesNo

Projected Attendance*

Fees Charged*

Will Alcohol be Served?*

YesNo

Event Description

Areas of Support*

Event Description *

How and when will your event be publicized?

What, if any, social media outlets will you use?*

Social Media Links*

Please provide the URLs for the outlets provided above or enter 'NA' if not applicable

What, if any, assistance will you request from Cape Fear Valley Health Foundation?*

Estimated event revenues*

$ amount

Estimated event expenses*

$ amount

Estimated net donation to CFVHF*

$ amount

Item collection in lieu of fundraising*

YesNo

Anticipated date of donation*

Date

Do you hope to make this a seasonal/annual event?*

YesNo

Will any other charitable organization benefit from this event?*

YesNo

Please list organization(s), how they are involved, and in what manner they will benefit*

Business Category/Service of sponsoring organization*

Year established (approximate)*

1998, 2021, etc.

Principal Officers Name*

First NameLast Name

Principal Officers Title*

Describe how this event benefits the sponsoring organization*

Cape Fear Valley Health Foundation requires that the event be adequately insured. Organizers
must work with the Foundation to provide all necessary information regarding insurance and
shall complete necessary documentation in order for Cape Fear Valley Health Foundation to be
added as an additional insured on the organizer’s policy.

Insurance Company*

Type and Amount*

Application for Community Fundraising Events

Event Sponsor Information

Event Details

Publicity/Community Engagement

Estimated Gift Contribution & Beneficiaries

Sponsoring Organization Information

Event Insurance

Guidelines for Community Fundraising Events