Nonprofit Sponsorship Application

Contact Information

Your Name:

Your Email Address:

Your Phone Number:

Are you the best person for us to contact about this request? Yes No

Organization Details

Organization Name:

Is your organization a 501(c)(3) nonprofit? Yes No

Organization Employer Identification Number (EIN):

Organization Address (Street, City, State and Zip Code):

Please select which category aligns with your organization’s goals: Healthy families Community improvement Health and wellness Education / STEM Other

Request Details

Is this request for sponsorship of a fundraising event (walk, gala, festival, etc.), or for a project (example: building something for the community)? Event Project

Is there a specific project you are aiming to complete by receiving a sponsorship from Central Hudson? Yes No

Event or Project Title:

Please Describe the Event/Project:

Objective(s) of the Event/Project:

Target Audience (geographic, socio-economic, etc.):

Please describe the expected impact of this event/project:

If your request is granted, how will you publicize Central Hudson's contribution (social media, news release, website, etc.)?

Please attach any supporting documents here (optional):

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Nonprofit Sponsorship Application

Contact Information

Organization Details

Request Details