2021 CreateAthon® Application FormGeneral InformationOrganization Name:Address: Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Contact Name: First Last Phone:Email: How did you hear about our CreateAthon event?*Organization InformationDescription of Organization's Mission:Is your organization listed as a 501(c)3?*You must be a 501(c)3 nonprofit to apply.YesNoWhat year was your organization founded?Does your organization provide direct services or is it an association/coalition?Direct servicesAssociation/coalitionWhat is your annual marketing budget?Did your organization budget for advertising/marketing this year?YesNoHow is your budget allocated?*Please outline plan for spending.Is your organization currently working or planning to work with any other Marketing/advertising agency on a pro bono or paid basis?YesNoIf so, who?Where is your organization headquartered?What is your geographic service area?Project InformationPlease describe in detail the organizational objective you need new marketing materials to support. For example, what is the issue that needs to be addressed?List the marketing materials you would like us to consider producing, in order of priority, to support this objective.Examples of work we have produced in the past are logos, letterhead packages, outdoor boards, radio scripts, marketing plans, brochures and posters, social media programs, etc. Complete the specific information for each project as indicated. (Please feel free to upload pages to provide additional information.)FileMax. file size: 256 MB.Project Description:Objective of the project(s):(i.e., awareness, fundraising, volunteer recruitment, etc.)Target Audience:Do you have any existing or potential arrangements with vendors who may be willing to produce broadcast materials, provide HTML programming and/or provide media space for your projects?YesNoIf yes, please explain:PROXIMO MARKETING STRATEGIES CREATEATHON SELECTION PROCESS:After receiving all applications by the due date of November 15, 2021, Proximo Marketing Strategies will vet the applications and develop a shortlist of CreateAthon® candidates. If your nonprofit organization is included in the shortlist, you will be contacted to schedule a brief meeting. All final CreateAthon® selections will be made by November 30, 2021, and notifications will go out via email on that day. All terms and conditions apply to selected nonprofits as outlined below.PROXIMO MARKETING STRATEGIES CREATEATHON TERMS AND CONDITIONS:Proximo Marketing Strategies will not produce work via CreateAthon® that is being handled or coordinated by any type of paid consultant on behalf of the nonprofit organization, or tied to initiatives under the purview of other paid consultants. If my organization is selected as a CreateAthon® participant, I understand and agree to the following:● Work for this project will be done by Proximo Marketing Strategies between the hours of 9:00 am on December 7th, 2021 and 9:00am on December 8th, 2021.● We will meet with Proximo Marketing Strategies staff virtually using Zoom prior to CreateAthon® (date TBD) to provide additional background on our organization and the requested project.● We will meet with Proximo Marketing Strategies staff virtually using Zoom to receive a mock-up of the project. A specific appointment time will be scheduled.● During the next 24 hours, we will secure any necessary changes or revisions (copy revisions only).● We understand there will be no additional work provided by Proximo Marketing Strategies for this project beyond the terms outlined above. I understand and agree to the terms above. I understand that all work completed is the property of Proximo Marketing Strategies and any third parties that contribute to the project such as photographers, illustrators, etc.EmailThis field is for validation purposes and should be left unchanged.