Kauffman Foundation Conference Center Request Form

3. Please provide the following:

Organization name *This question is required.

Street address

Apt/Suite/Office

City

State

Zip

Organization website URL

Your contact information:

4. Name: *This question is required.

5. Title:

6. Email: *This question is required.

7. Phone: *This question is required.

8. Date(s) and time(s) of event: *This question is required.

9. Title of event (as marketed to your attendees): *This question is required.

10. Number of expected participants: *This question is required.

11. Organization/Program EIN (Employer Identification Number) *This question is required.

13. How does the proposed meeting/event align with the charitable purpose for the hosting organization? *This question is required.

14. Provide a summary of this event: *This question is required.

15. Who is your audience? *This question is required.

16. Provide an agenda if available:

17. Background information regarding the organization requesting the event: *This question is required.

18. Is your organization/program an active Kauffman Grant recipient?

19. If available, please provide Grant ID number:

19. Do you have a referral from a Kauffman associate? If so, who?

20. Is there a charge to attend your event? *This question is required.

21. Do you anticipate the need for catering for your event? *This question is required.

22. What is your ballpark catering budget for the event (per guest)?

22. Do you plan to serve alcohol? *This question is required.

22. Will attendees be under the age of 21? *This question is required.

Note: We cannot serve alcohol at an event or program with guests under the age of 21.

22. Method of payment?

24. Will media be invited to cover this event? *This question is required.

25. Do you plan to have sponsors or vendors/exhibitors for your event? If so, please list/explain: *This question is required.

26. Is this a fundraiser for your organization? *This question is required.

*required