Sponsorship Request Application

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1 Instructions 1. Please read the Community Sponsorship Program Policy and Guidelines. 2. Answer each question below. Incomplete applications will require resubmission. 3. Attach the required documents. 4. Submit the completed application before the end of the day Friday, Sept. 30, Activities must take place at least 60 days after the application closing date. If your group is seeking sponsorships for multiple projects, each submission will be evaluated but please submit a separate application for each request. For more details on selection criteria and evaluation procedures, contact the Communications Division at maria.pangelinan@polb.com or (562) Organization Organization Name * Address * Street Address Address Line 2 City State Province Region United States Postal Zip Code Country County * Organization RepresentativeContact Name * Phone Number * - - First Last ### ### #### Title *

2 Projectevent name * Projectevent location * Please describe your activity and how it relates to our requirements, bearing in mind that all requests for sponsorship must be programs, events, and activities that: Support the Tidelands Trust and maritime-related 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 helped by your eventprogram? Please be specific. * Number of AttendeesPeople Served * Is there a cost for eventprogram attendees? * Yes No If yes, please explain. Date(s) of ProjectEvent - From: * To: Requested from Port of Long Beach * 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 be the prime sponsor of this event or program. Past Support Has your organization received Port sponsorship funds in the past? * Yes No If yes, please list description of the sponsored program(s), date(s) of sponsorship and amount(s). * Purpose What will this project accomplish? * How does this project support the Tidelands Trust and maritime-related initiatives; provide meaningful education to the local community about the Port and international trade; or provide an opportunity for extensive Port promotion and recognition? * Our Funds Specifically, how would you use our contribution? *

3 Please list all the ways the Port will be recognized as a sponsor. * List other sponsorship levels available (please provide details) * If the Port does not contribute any money, are there needed in-kind services the Port could provide? * Funding s for This Project Firm Financial Commitments to Date (if more than three funding sources please include list with attachments) Please explain how all your funds are used: % programs and services * % program administration (overhead) * % other

4 Social Media Does your organization have a social media presence? * Yes No Please indicate which social media platforms you use: Facebook YouTube LinkedIn Flickr Pinterest Twitter Instagram Google+ Tumblr Other (please specify) 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: * Comments Please share any comments or other information you feel is appropriate.

5 Attachments Please attach the following to the completed application. PDF, Word, Excel or ZIP format are preferred. You may attach up to five files. Projectevent deadlines (e.g. for advertising, collateral, volunteer participation) Project budget (if applicable) List of current board membersofficersstaff (for future Port mailings) Brief description of organization or mission statement List of communication vehicles used by your organization (e.g. newsletters, Web sites) The Board of Harbor Commissioners at its discretion may request the following from organizations receiving sponsorship dollars: Access to the organization's mailing database Ability to make a Port presentation at a membership meeting A feature article in the organization's newsletter or e-newsletter A presentation to the Harbor Commission about the sponsored event or program, including a description of how Port funds will be used Copies of all eventprogram materials that mention the Port s sponsoring role Approval Sponsorships will be approved by the Long Beach Board of Harbor Commissioners and applicants will be notified within 45 days of the application closing date. Disbursement of Funding Funds will be awarded by the Board of Harbor Commissioners after reviewing recommendations from Port staff and the Board s Sponsorship Advisory Committee. Please note, funding will only be provided to eventsprojects approved by the Board of Harbor Commissioners. Funds will be disbursed upon presentation of appropriate supporting documentation from applicants; however, 20 percent of the approved amount will be withheld until the completion of the event, project or program and only after a post-event summary form is received. The post-event summary form may be found here. Please signify you have read the above section. * I have read and understand the Disbursement of Funding conditions. Nondiscrimination and Equal Opportunity Clause Sponsorship Award RecipientOrganization agrees, subject to applicable laws, rules, and regulations, not to discriminate in the performance of any event, activity, or project against any employee or applicant for employment on the basis of race, color, national origin, religion, sex, sexual orientation, gender identity, AIDS or HIV status, age disability, handicap, or veteran status. Compliance with the Americans with Disabilities Act of 1990 shall be the sole responsibility of Sponsorship Award RecipientOrganization, and Award RecipientOrganization shall defend and hold the City and the Port of Long Beach harmless from any expense or liability arising from Award RecipientOrganization s non-compliance therewith. For more information, please refer to the City s web page at Please signify you have read 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 *

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