Please mark box for the approved grant level:*

$7,500 $10,000

Chapter Name*

Chapter Contact Name*

First Name Last Name

Chapter Contact Email*

example@example.com

Chapter Contact Phone Number*

Area Code Phone Number

Trusted Choice State Association*

State Association Contact Name*

First Name Last Name

State Association Contact Title*

Did you use the grant funds for an event or a wish sponsorship?*

Event Sponsorship Wish Sponsorship

If grant funds were used for an event, please fill out the section below. If grant funds were used for a wish sponsorship, please scroll to the Wish Sponsorship section

Event Name*

Event Date

Date

Event Location

Approximate Number of Attendees

Total Amount of Funds Raised at Event

$5,000.00

Please list any special guests in attendance (ex. celebrities, Trusted Choice/IIABA employees, wish kids/families, local notables, etc.)

Event Description:

Was Trusted Choice included in any promotion, press releases, or social media for this event? Please check all that apply below:

Did any local or national media cover the event? If yes, please list below and upload assets at the end of this form.

If grant funds were used for a wish sponsorship, please fill out the section below. Please complete this information for any wish presentations held in conjunction with events recapped above, as well as for any "stand alone" wishes granted on behalf of Trusted Choice.

Wish Child's Name

First Name Last Name

Wish Child's Age

Wish Child's Hometown

Child's Illness

Please provide a brief description of the wish child's wish:

When was the wish granted?

Date

Did any media cover this wish sponsorship?

Yes No

How was Trusted Choice involved in the wish?

Please Include a quote from the Trusted Choice State Association:

Who is the quote from?

What is the estimated consumer/public reach of PR efforts? I.e. media impressions

Are there any additional ways Trusted Choice was highlighted you would like to add?*

Additional comments - Please include any additional information regarding the event/wish sponsorship:

Please upload any relevant assets:

Browse Files

For questions, contact Chelsey McHale, Corporate Alliances Specialist, at cmchale@wish.org or (602) 792-3208.

FY19 Trusted Choice Grant Program Recap $7.5K or $10K