CNOS Cares

CNOS Cares about Siouxland Communities

We’re proud to support area organizations committed to improving health in Siouxland communities. If your organization aligns with our mission, we would love to learn more about your project and consider you for a sponsorship grant.

Please take the time to fill out this application as thoroughly you can. We ask that you submit your request at least six weeks prior to the event to allow time for assessment and distribution. Thank for considering us as a sponsorship partner. We will work to get back to you quickly.

Proud Sponsor of

Request for Sponsorship

Your Information

Name of Organization

Address

Contact Name

Phone Number

Email

Are you a registered charity for taxation purposes? Yes No

Event/Project Details

(Leave blank if not applicable)

Date of Event

Estimated # of Guests

Purpose of Event

Venue for the Event

Goods/Services Requested

$ Value

Is there an opportunity for CNOS to provide any services for the event? Yes No

Promotional Opportunities

Please provide details of how CNOS will be acknowledged for their contribution.

Briefly describe how your cause or event relates to our mission of "Improving Health."

Supporting Information

Please tell us any additional information about why CNOS should consider your request for support.