University Sponsorship Request Form

Section 1: Applicant Information

Organization/Group Name * Primary Contact Name * Title/Role * Phone Number * Email Address *

Section 2: Applicant Type

Please select one: * Student Group (recognized by the University of Regina) Faculty Staff Non-Profit Organization For-Profit Organization

Section 3: Overview and Alignment

Name of Event/Initiative * Date *

Project Audience Size/Reach * Target Demographics Description of your event/initiative. (max 250 words): * Briefly describe how your event or initiative aligns with the University of Regina’s strategic priorities. * Event Location (City/Province) *

Will the event be held on the University of Regina campus? * Yes No

Only respond to this section if you have selected YES above

If yes, please select the requested campus space: (Rates shown reflect the daily rate minimum) Education Auditorium ($1,500 per day) Multipurpose Room ($1000 per day) Gymnasium ($1,000 per day)

If you have requested another space on campus please specify

Have you tentatively booked the space through Hospitality Services? Yes No- Please confirm required space is available for the date of your event prior to application.

Will audio/visual (AV) support be required? Yes No

If selected yes please specify the AV requirements

Will on-campus food and beverage services be used? Yes No

End of this section. Please proceed with the remaining items.

Section 4: Sponsorship Details

Type of Sponsorship Requested (Select all that apply) * Financial (cash contribution) In-Kind (event space on campus, AV Services on campus, merchandise, promotional support, etc.) Promotional Items (U of R merchandise/branded items) Combination of Financial, In-Kind and Promotional Items

Amount of Financial Support Requested (if applicable) Amount of In-Kind Support Requested (if applicable): Please include facility bookings, AV, equipment, merchandise, services, or other non-financial) Quantity of Promotional Items Requested (if applicable) Intended use of Promotional Items (eg. attendee gift, doorprizes, etc) Total Estimated Value of Sponsorship (Financial + In-Kind) *

Section 5: Sponsor Benefits & Recognition

Briefly describe the benefits and recognition available to the University of Regina at the level of sponsorship requested above. * Expected Media and Promotional Exposure *

Section 6: Engagement & Experiential Learning Opportunities

Is there an opportunity for senior leadership or faculty members to speak or participate? * Yes No

Is there an opportunity for University of Regina students to volunteer or gain experiential learning experience? * Yes No

If yes to either of the above, please describe

Section 7: Additional Funding & Campus Support

Have you requested or received funding or support from another University of Regina source? * Yes No

If yes, please provide: Faculty, Unit, Source Conference Funding and Amount(s)

Section 8: Previous Relationship with the University

Have you worked with the university previously? * Yes No

If yes, please list past collaborations, including dates and nature of sponsorship

The University of Regina collects information under the authority of The University of Regina Act and in accordance with the Local Authority Freedom of Information and Protection of Privacy Act and the Personal Information Protection and Electronic Documents Act for purposes of the administration of the University and its programs and services. By responding to this form, you are consenting to the University of Regina using your personal information to respond to your request.