Name of Nonprofit Organization: *required

Mailing Address: *required

Contact Name: *required

Email Address: *required

Phone Number: *required

Organization Website:
Please limit response to 100 characters.

Is your organization a registered 501(c)(3) nonprofit? Yes No
Note: WNYC Media Sponsorship is only available to nonprofit organizations. Nonprofits not classified as a 501(c)(3) will be considered on a case-by-case basis *required

If no to the previous question, please explain:

Year of nonprofit incorporation (Enter a number without commas): *required

Organization's Mission Statement:
Limit Response to 2000 characters.

Organization's Target Audience: *required

Organization's Audience Size (single events):

• 0-99
• 100-499
• 500-999
• 1,000-4,999
• 5,000+

Organization's Audience Size (season/series):

• N/A - event(s) are not part of a season/series
• 0-499
• 500-999
• 1,000-4,999
• 5,000-9,999
• 10,000+

Organization's marketing budget and/or in-kind equivalents : *required

Has your organization received WNYC Media Sponsorship in the past? : Yes No Not Sure *required

How do you think WNYC Media Sponsorship will impact your event(s) and your organization? :
Limit response to 2000 characters. *required

Optional: Please share any additional information about your organization:
Limit response to 2000 characters.

Type of Media Sponsorship are you applying for:

• Season/Series Sponsorship (multiple events within the 2011-2012 season/series)
• Single Event Sponsorship (one event in 2011-2012)
• Season/Series or Single Event Sponsorship

Name of single event (If you would like to submit multiple single events for the same organization (that are not part of an event season/series) please list each single event here.):
Limit response to 1500 characters. *required

Event date/s (Please list each single or series event with event dates in this section. If dates are unknown, please provide an estimated date.):
Limit response to 500 characters. *required

Provide a brief description of the event or season/series (If details are unknown or unconfirmed, please provide as much information as you can about the nature of the event. Note: Fundraising events, political or medical advocacy programs/campaigns are not eligible for KUOW Media Sponsorship. ):
Limit response to 5000 characters.

Purpose for event (Note: Fundraising events, political or medical advocacy programs/campaigns are not eligible for KUOW Event Sponsorship.):
Limit response to 500 characters. *required

Location/venue for event/s: *required

Will WNYC be an exclusive media sponsor for this event/series? : Yes No Not Sure *required

Please indicate the sponsor benefits that would be available to WNYC from the list below :

• Placement of WNYC logo on all printed and web-based event materials
• Supplemental materials printed and provided to WNYC as proof of fulfillment
• Identification of WNYC sponsorship in all related press materials, e-blasts and printed newsletters
• Link to WNYC's homepage from your event web site
• Banner or signage at event
• Booth or table at event
• In-kind tickets for WNYC (unless event is free)
• WNYC emcee opportunity (subject to WNYC availability)
• Other

If "Other" was selected in the previous question, please explain what benefits you would offer below:

Have you purchased an underwritting contract in the last 2 years with WNYC or WQXR? :

• Yes
• No

If "Yes" was selected, please specify the station:

• WNYC
• WQXR

Please specify the event details :