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Request for Carney sponsorship
Please, fill out this form if you are requesting Carney Institute funding for the sponsorship of a group or event.
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* Indicates required question
Email
*
Your email
Name of Contact Person
*
Your answer
Describe the group seeking sponsorship.
*
Your answer
Describe the events/activities you are organizing.
*
Your answer
What level of sponsorship are you requesting from the Carney Institute?
*
Your answer
Which other groups will contribute funds?
*
Your answer
Who will be impacted?
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Your answer
How are you planning on spending the funds?
*
Your answer
How will you measure outcomes?
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Your answer
What is the time frame for the activities?
*
This will determine the reporting requirements.
Your answer
Do you agree to provide Carney with reports on participation and outcomes?
*
Yes
No
Other:
Please provide any other information relevant for this request.
Your answer
A copy of your responses will be emailed to the address you provided.
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