Sponsorship Application

Name*
First Last
Date*
Date Format: MM slash DD slash YYYY
Business*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone*
Email*
Please check one:*
- not-for-profit
- for-profit
Is this business currently a sponsor?*
- Yes
- No
Which location(s)?
Please list a senior center, CHOICE site, etc.
CHOICE Sponsor Guidelines & Agreement
In order to uphold the mission of Aging Ahead and protect the privacy and well-being of our participants, we require that sponsors abide and agree to the following guidelines:
- Sponsors are prohibited from collecting participant contact information, including in exchange for any service, goods, raffles and prize drawings.
- Sponsors are prohibited from making presentations and/or providing advice as part of their sponsored activity.
- Sponsors are prohibited from selling any product or service at Agency locations.
- Sponsors are prohibited from distributing business cards/brochures to participants; however, materials may be made available on the day of the program for participants to voluntarily collect.
- Aging Ahead does not endorse sponsoring organizations.
I have read and agree to follow all of the guidelines stated in this agreement. Violation of any terms of this agreement may result in immediate discontinuation of Sponsor status.
Signature
Date*
Date Format: MM slash DD slash YYYY
Organization Name*

CHOICE Sponsor Guidelines & Agreement