Sponsorship Request Application

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1 Project Instructions Friday, March 30, Organization Organization Name * Address * Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country County * Organization Point of Contact Name * First Last Phone Number * ### ### #### Title *

2 Project Project Project/event name * Project/event location * Please describe your activity and how it relates to Port of Long Beach sponsorship policy, guidelines and requirements, bearing in mind that all requests for sponsorship must be programs, events, and activities that: Support the Tidelands Trust and maritimerelated initiatives; Provide meaningful education to the local community about the Port and international trade; or Provide an opportunity for extensive Port promotion and recognition * Who will be benefit from your event/program? Please be specific. * Number of Members in Your Organization * Number of Attendees/People Served at This Event/Activity * Is there a cost for event/program attendees? * Yes No If yes, please explain. Date of Project/Event * / / MM DD YYYY Dollar Requested * Total Project Cost * The Port encourages community organizations to seek a variety of funding partners. If you are seeking a sponsorship that exceeds 50% of the project cost, please explain in detail why the Port should provide a higher level of funding for this event or program. (If seeking less than 50%, skip this step.) Past Support Has your organization received Port sponsorship funds in the past? * Yes No If yes, please list the sponsored program(s), date(s) of sponsorship and amount(s). * Purpose What will this project accomplish? * Our Funds Specifically, how would you use our contribution? *

3 Project Port Participation List all sponsorship levels and corresponding benefits. Please provide details. If more space is needed, please attach a file with explanation. * If the Port does not contribute any funding, are there other in kind opportunities, for example a speaker or presentation? * for This Project Firm Financial Commitments to Date (if more than three funding sources please include list with attachments) Please explain how your organization allocates its overall annual operating budget: % programs and services * % program administration (overhead) * % other

4 Project Social Media Does your organization have a social media presence? * Yes No Please list platforms and usernames: Additional Are any members of your staff or board of directors: Members of the Board of Harbor Commissioners? Employees of the Port? Related to a member of the Harbor Commission or Port staff? * Yes No If yes, please list names and the relationships: *

5 Project Attachments Please attach the following to the completed application. PDF, Word, or Excel file formats are preferred. You may ZIP several files together if needed. You may attach up to five files. As required by the Tidelands Trust, the Port may only award sponsorships that support the trust and maritime activities, that educate the public about the Port and international trade, or that provide an opportunity for significant Port promotion and recognition. In recognition of sponsorship support, please indicate the opportunities that the Port will be provided to help educate your members about the Port of Long Beach's mission and operations (check all that apply): * Ability to send a Port related e mail to the organization's mailing database Copies of all event/program materials that mention the Port s sponsoring role Listing on organization's website as a community partner Approval and Disbursement of Funding Approval Disbursement of Funding 80 percent of the funds 20 percent of the approved amount Please signify you have read and agree to the above section. * I have read and understand the Disbursement of Funding conditions. Nondiscrimination and Equal Opportunity Clause Please signify you have read and agree to the above section. * I have read and understand the Nondiscrimination and Equal Opportunity Clause. Signature Please signify that you understand the Sponsorship Terms and Conditions, that Port funds can only be used: To support the Tidelands Trust and maritime related initiatives; To provide meaningful education to the local community about the Port and international trade; or To provide an opportunity for extensive Port promotion and recognition. * I have read and understand the Sponsorship Terms and Conditions. Your name here constitutes your signature on this document. * Date * / MM DD / YYYY

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