Sponsorship Request Form

Vermont Suicide Prevention Symposium

Thank you for your sponsorship!

This form can be used to make a sponsorship request. If you have any questions about sponsorships, feel free to contact Sara at sara@healthandlearning.org

Company or Group Requesting Sponsorship *

Name *

First

Last

Email *

Phone

Preferred Contact Method

Email
Phone
No Preference

Please describe the event or program that the sponsorship will support.

Please indicate which sponsorship levels you are seeking. *

HEALTHY FOUNDATION SPONSOR • $10,000
HEALTHY CATALYST SPONSOR • $5,000
HEALTHY OUTCOME SPONSOR • $3,000
HEALTHY PRACTICE SPONSOR • $1,000
FRIEND OF VT SPC SPONSOR • $500
CONFERENCE EXHIBITOR SPONSOR • $250
SPONSOR A SCHOLARSHIP • $250–$2,500
SPONSOR A KEYNOTE • $2,500
SPONSOR A WORKSHOP OR PANEL • $1,000
FEATURED NEWSLETTER ARTICLE • $500

Additional Comments / Requests

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