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REQUEST FORM
For APPROVAL of EVENT SPONSORSHIP
All events must be in keeping with the MISSION, FUNCTION & PURPOSE of CAROLINA WELLNESS ASSOCIATION (CWA):
Mission: To raise public awareness of WELLNESS through balanced living in the areas of mind, body, family, finances, and society. Function: to organize and produce events that will be in keeping with the Mission and provide training for the membership. Purpose: To provide information integral to staying WELL to individuals, families and businesses. Information will include nutrition, fitness, rest and relaxation and environment. and the Wellness Home Concept.All requests must be sent to the CWA Director of Events at least 60 days before the event.
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Today’s Date: |
Event Coordinator (Must be CWA member & person applying.): |
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Name of Proposed Event: |
Coordinator’s Mailing Address: |
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Place & City of Event: |
Coordinator’s Phone Number(s): |
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Proposed Date (s) of Event: |
Coordinator’s FAX: |
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Times of Event: |
Coordinator’s Email Address: |
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Purpose of Event: |
List of your Planning Committee Members: |
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Total Number of Volunteers Needed: |
Current Number of Volunteers Committed: |
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Speakers Committed: |
Speakers Requested: |
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Are you requesting financial support? ________ Proposed Event Expenses: Room: __________ Food: __________ Publications (tickets, flyers, ads): __________ Postage: __________ P.A. System: __________ Projector: ____________ Other (specify): __________________________ Total: ____________ |
Proposed Income: Ticket sales: ___________ Cost of ticket: ______ Other: ___________________________________ Total: ____________ Proposed Balance: _____________ For CWA financially supported events, all profits go to the CWA. Agreed? _______ N/A ______ SIGNATURE: _____________________________ |
Email
completed form to the CWA Director of Events:
Click here
for a link to word document
