JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
First 5 SLO County Sponsorship Application
Nurses Appreciation Dinner
Sign in to Google
to save your progress.
Learn more
* Indicates required question
9/15/2025
*
MM
/
DD
/
YYYY
Doug Major oD
*
Your answer
dlmajor57@gmail.com
Your answer
SLOLIONSEYES>org
*
Your answer
Type of Agency?
*
Public/Government
Non-Profit 501(c)(3)
Public School/District
Lions Clulb
Other:
1112 Vine St Paso Robles CA
*
Your answer
$500
*
Your answer
Connection to First 5 SLO County Priority Area
*
Early Health Foundation-Promoting young children’s wellness and access to quality care
Required
Type of Event
*
Professional Development- training/information for early childhood service providers
Public Awareness-messaging related to early childhood
Required
School Nurses Annual Appreciation Dinner
*
Your answer
9/15/2025 630
*
Your answer
Madonna Inn
*
Your answer
35
*
Your answer
0
*
Your answer
Please confirm this even is not a fundraiser
*
This event is not a fundraiser
Required
*
Your answer
Services Provided for Participants
*
Continuing Education Credits
Required
Educate and connect with school nurses
*
Your answer
open to school nurses
*
Your answer
Lions, CAL POLY
*
Your answer
Information on new vision care research and outreach
*
Your answer
If funded, I agree to list First 5 SLO County as a sponsor/supporter in event promotion/materials?
*
Choose
Yes
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
Forms
This content is neither created nor endorsed by Google.
Report Abuse
Terms of Service
Privacy Policy
Help and feedback
Contact form owner
Help Forms improve
Report