Fillable Printable Event Proposal Sample Form

Event Proposal Sample Form

EVENT PROPOSAL FORM

 Individual  Business  Organization/Group (Non-profit)

Thank you for your interest in organizing an event to benefit the Medical University of South Carolina’s

Hollings Cancer Center. Please complete this proposal form for review by Hollings Cancer Center’s

Special Events Office. Please return the completed form to: Hollings Cancer Center, Attn: Special

Events, 86 Jonathan Lucas Street, PO Box 250955, Charleston, SC 29425 or fax to (843) 792-4233.

If you have any questions, please call us at (843) 792-1669.

PLEASE TYPE OF NEATLY PRINT ALL INFORMATION.

I. EVENT DESCRIPTION

Name of Event: ________________________________________________________________________________

Event Date: ________________ Event Start Time:_________________ Event Location ______________________

Event Website or Public Phone Number: ____________________________________________________________

Nature of Event (Please explain in detail): __________________________________________________________

_____________________________________________________________________________________________

Has this event been executed before? _______________________________________________________________

If yes, please list name of beneficiary, date of event and amount raised:

_____________________________________________________________________________________________

Projected Attendance: ___________________________________________________________________________

This event is:  Open to the public  Invitation only

Please list all businesses and individuals you plan to solicit for cash or in-kind donations (greater than $100):

_____________________________________________________________________________________________

III. CONTACT INFORMATION

Name of Sponsor (Individual/Business/Group/Organization):____________________________________________

Address: _____________________________________________________________________________________

Contact Person: ________________________________________________________________________________

Email Address: ________________________________________________________________________________

Phone number: ___________________ (W) _______________________(H) __________________________(Fax)

For business/group: number of years in existence: __________ Number of employees/members _______________

IV. FINANCIAL INFORMATION

Projected costs: $______________________ Projected income: $_______________________________________

Estimated donation to Hollings Cancer Center: _______________________________________________________

How will proceeds from the event be given to Hollings Cancer Center?:

 Cash  Check  Other_________________________________________________________

Expected date net proceeds will be given to Hollings Cancer Center :______________________________________

Are there other beneficiaries besides Hollings Cancer Center?  Yes  No

If yes, please list._______________________________________________________________________________

Please note the percentage donated to each organization _______________________________________________

Will the gift from the event benefit a specific area:

 Unrestricted Fund

 One of the Research Programs at HCC (please specify)

______________________________________________________________________________________

V. PROPOSED SUPPORT FROM HOLLINGS CANCER CENTER

 Attendance by Hollings Cancer Center representative at event

 Speaker (describe) ___________________________________________________________________________

 Hollings Cancer Center Promotional Materials:

 HCC Banner  HCC Brochures

VI. PUBLICITY INFORMATION

Hollings Cancer Center reserves the right to review all materials that include our logo and/or name.

Please indicate the types of promotions you plan to do for your event:

 Press releases sent to: _________________________________________________________________________

 Flyers sent to: _______________________________________________________________________________

 Public service announcements (PSAs) sent to: _____________________________________________________

 Other: _____________________________________________________________________________________

I/we have read the MUSC Hollings Cancer Center Benefit Event Guidelines in full, and I/we agree to adhere to

those guidelines in planning and executing our event. I/we understand that the guidelines are not comprehensive

and that all decisions for the event, including safety precautions, remain the responsibility of the event sponsor.

MUSC Hollings Cancer Center does not accept or assume any liability associated with event.

_____________________________________ ___________________________________

Signature Date

For Administrative Use:

_____________________________________________________________________________________________

 Approved

 Not Approved

Thank you for your interest in organizing an event to benefit the Medical University of South Carolina’s

Hollings Cancer Center. Please complete this proposal form for review by Hollings Cancer Center’s

Special Events Office. Please return the completed form to: Hollings Cancer Center, Attn: Special

Events, 86 Jonathan Lucas Street, PO Box 250955, Charleston, SC 29425 or fax to (843) 792-4233.

If you have any questions, please call us at (843) 792-1669.

Date

MUSC Hollings Cancer Center Staff