Kaiser Permanente southern Alameda County Sponsorship Program Guide Thank you for your interest in the Kaiser Permanente southern Alameda County Sponsorship Program. Each year through our programs, we support local organizations that are working to improve the health of the communities we serve.
Introduction For 70 years, Kaiser Permanente's social mission has been the foundation of its community service programs. As a values-driven, not-for-profit integrated health care organization, Kaiser Permanente is dedicated to improving the health of our members and the communities we serve. This is accomplished through a variety of engagements and partnerships where we bring a wide range of resources to support community based organizations including: financial grants to support community activities, the provision of volunteers, and in-kind support such as health education materials, promotional items or speakers. Kaiser Permanente Public Affairs coordinates funding and resources to support community partners, organizations and agencies across southern Alameda County, which encompasses Hayward, Fremont, Newark, Union City, San Leandro and the unincorporated areas of Ashland, Cherryland, Castro Valley, San Lorenzo and Sunol. Public Affairs Sponsorships Kaiser Permanente Public Affairs will consider sponsorship requests for local community activities and civic events, under the Community Relations or Community Benefit programs. Types of requests that will be accepted for consideration include but are not limited to: Special events e.g. health fairs, dinners, lunches, cultural events or fundraisers Conferences and forums Symposia Health education forums Health campaigns, programs and initiatives Community Benefit sponsorship requests must be in alignment with one of the identified health priority areas determined by the Community Health Needs Assessment. Health priorities for 2017-2019 include: Healthy Eating Active Living (HEAL) Access to Care and Coverage Mental Health and Wellness Community and Family Safety NOTE: Notify us immediately if there are changes to event date, time, or location Email: GSAA-Community-Involvement@kp.org. 2 P a g e
Eligibility Guidelines Kaiser Permanente will consider requests from qualified nonprofit 501(c)3 organizations that address the needs in southern Alameda County only Sponsorship awards typically range from $500 - $10,000 Only nonprofit or public benefit organizations are eligible to receive funding (Unincorporated groups or agencies can make arrangements to utilize an eligible nonprofit organization as a fiscal sponsor) Strategies must be consistent with the values and mission of Kaiser Permanente The application is for community organizations Kaiser Permanente physicians and employees are ineligible to submit requests for funding on behalf of a community organization Requests will be funded only for events or programs within the current fiscal year. Funds must be spent by the end of the year A summary evaluation report of the event/activity, is required 30 days post event date (include number of people attending/served and event highlights) Requests must be submitted a minimum of 60 days prior to event date. Requests received less than 60 days from date of your event may be immediately declined Funding Limitations Kaiser Permanente Public Affairs will not consider funding requests from the following types of organizations or for the following activities/purposes: Political campaigns* Religious purposes** Individuals and/or personal requests such as scholarships, individual tuition, payment for educational purposes, conferences, etc. Fraternal, athletic, international, or social organizations Contributions to endowments or memorials Field trips Youth sports leagues Tours or golf tournaments Crab/spaghetti feeds or ice cream socials *As a nonprofit organization, Kaiser Permanente is legally prohibited from funding political campaigns. ** Faith organizations providing secular programs that serve the greater community must apply under a fiscal sponsor. A community 501(c)3 nonprofit partner can apply for funding as a fiscal sponsor on behalf of an inter-faith collaborative. 3 P a g e
Additionally, Kaiser Permanente does not support organizations that discriminate on the basis of sex, age, economic status, educational background, race, color, ancestry, national origin, sexual orientation, gender identity, and marital status. Accessing the Online Application Create a login to access the Application one contact per organization. This can be the same login if you have already submitted an online grant application. You can save your progress and return to the application at a later date through the same URL. Sponsorship Application Website: https://www.grantrequest.com/sid_946?sa=sna&fid=35245 Processing Guidelines Submit requests early with required documents as processing may take 6 12 weeks. Tips for Successful Online Submission Applications must be submitted online; information entered can be saved and completed later Save your progress often as you complete the application Select Printer Friendly Version link at the top of the online application page to preview all the questions asked Items with a red asterisk (*) must be completed Review the application form and document attachments for completeness Once you submit your application, it cannot be edited If you forget your account password, follow the on-screen instructions from the account login page to retrieve your password 4 P a g e
Required Documents The following documents are required and must be uploaded as part of the submission. The application cannot be submitted through the online system without attaching these documents. 1. Request on organization's letterhead (must include; the legal name of organization, address, current date, requested amount, event title, date, time, venue name and address and how the funds will be used) 2. Tax exempt status letter* 3. Current list of Board of Directors (must include their affiliations) 4. Detailed event sponsorship proposal must include: levels, benefits, i.e. # of tickets, ads, recognition, etc., and agreement 5. IRS Form W9 *Tax exempt status verification, one of the following documents must be submitted: Nonprofit organizations, one of the two supporting documents must be submitted: Copy of current IRS determination letter indicating appropriate tax-exempt status with Tax ID number (preferable), or Copy of the certification from the Office of the State Attorney General where the qualified organization is registered Government/public entities, one of the two supporting documents must be submitted: Notarized letter from the organization's Chief Financial Officer or Certified Public Accounting Firm indicating the government/public agency has been granted tax exemption, or Affirmation letter from the IRS with the Federal Identification Number Fiscal agent If a fiscal agent is being used, the request and required information must also be submitted on the fiscal agency's letterhead along with a copy of the Memorandum of Agreement. All required documentation must be submitted for the fiscal agent organization. 5 P a g e
Uploading Instructions To upload please do the following: From the drop-down list, select the document ready to be attached; Click 'Browse' button and select the file. The file you selected will then be displayed; Click 'Upload' button and your file will be attached. Repeat for each required document. The maximum size for all attachments combined is 100 MB. Please note that files with certain extensions (such as "exe", "com", "vbs", or "bat") cannot be uploaded. These instructions are specific to Internet Explorer and may vary depending on the browser you are using. Contact Us If you have any questions about the application or experience technical difficulty, please contact Evelyn Navarro at gsaa-community-involvement@kp.org or 510-618-4018. Thank you for your interest in the Kaiser Permanente southern Alameda County sponsorships. 6 P a g e