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Speaker Request Form
Home
About
Our Team
You’ll Find the Care to Help You Change Your Life
How We’re Unique
How We Work
Join Our Team
Locations
Your Questions about Care to Change
What to expect
How to Pick a Counselor
Schedule an Appointment
Take a Tour of Our Offices
Your Questions about Care to Change
partner with us
Churches
Businesses
Schools
Sponsorships
Resources for you
Resources
Care to Wear
Workshops
Intensives
The Podcast
Our Blog
Events
Connect
Contact
Speaker Request Form
Sponsorship Request
Request Date
(Required)
MM slash DD slash YYYY
Deadline for decision
(Required)
MM slash DD slash YYYY
Name
(Required)
First
Last
Email
(Required)
Amount requested
(Required)
Orgganization to benefit:
(Required)
Is the organization a 501c3?
(Required)
Organization’s mission/purpose:
(Required)
Is this sponsorship for a specific event? If so, please explain the event and sponsor level, when the event is, and who the audience is for the event.
(Required)
What is your affiliation with this organization?
(Required)
How does the mission or purpose of the request support Care to Change’s mission?
(Required)
What are the benefits of sponsoring this organization/event?
(Required)
Describe history and partnership beyond this request.
(Required)
What other mental health/counseling/like organizations are sponsoring or partnering with this event/organization?
(Required)
What else do we need to know to consider the gift?
(Required)
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