Getting Started as an ACP SPONSOR: 5-Minute Questionnaire

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Invest in Lives That Matter

Help us bring life-saving healthcare conversations to African American communities. Your sponsorship ensures families have the knowledge and tools to make informed decisions about their care when it matters most.

The Challenge We're Addressing

Too many African Americans face end-of-life and emergency healthcare decisions without advance care plans—leaving families in crisis and wishes unfulfilled. The Let's Talk About ACP workshop changes that.

Your Impact

Every dollar you invest:

Trains community facilitators to lead vital conversations
Provides free or reduced-cost workshops to underserved communities
Supplies culturally relevant resources and materials
Empowers families to honor their loved ones' healthcare wishes

Sponsorship Opportunities

Whether you contribute $500 or $50,000, your support creates measurable change. We'll work with you to align your giving with your values and impact goals.

Ready to Make a Difference?

Complete the form below, and a Heart Tones team member will contact you within 48 hours to discuss how your sponsorship can transform lives.

Together, we can ensure every family has a voice in their healthcare journey.

Email *

Your Full Name: *

Your Organization or Church Name *

Your Cell Number: *

Best time to call: *

Morning (8am-12pm)

Afternoon (12pm-4pm)

Evening (4pm-8pm)

Required

Can we contact you through text message?

Yes

Clear selection

Your Mailing Address (include City, State, and Zip): *

How did you hear about the Let's Talk About ACP Facilitator Training and Workshops? *

Attended a workshop

Another organization or group

A Sponsor of the Let's Talk About ACP program

Friend or Family member

Internet Search or Social Media

Word of Mouth

Other:

On a scale of 1 - 10, how familiar are you with African American cultural perspectives and community needs?

Clear selection

How many Let's Talk About ACP workshops and/or Facilitator trainings would you like to support?

1-10

11-50

51-150

151-300

301-500

501+

Facilitators @ $495/each

Workshops @ $395/each

In what ways could you help expand our community-based engagement efforts? (check all that apply)

I can introduce you to potential funders or donors.

I can connect you with partners, businesses, or organizations.

I can share and promote your content and events with my network.

I can volunteer my time, skills, or services for programs and events.

I can bring in others from my community to get involved.

I can advocate for your mission and raise awareness in my circles.

I have another idea I’d like to suggest.

Would you like materials about the LTAACP Program to share with your network, church, or community?

Yes

Clear selection

How do you prefer to make your sponsorship contribution? *

Credit Card

Zelle

Cashier's Check

Business or Person Check by Mail

Send me a copy of my responses.

Submit

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