HHS National Conference on Womens Health

Co-sponsorship Registration Form

To be eligible, a potential co-sponsor shall: (1) participate substantively in the co-sponsored activity and (2) have an organizational mission that is consistent with OWH and HHS. The selected co-sponsoring organization shall furnish the necessary personnel, materials, and services to administer its responsibility for the conference. These duties will be outlined in a co-sponsorship agreement with OWH that will set forth the details of the co-sponsored activity.

Contact First Name

Contact Last Name

Contact Phone Number

Contact Email

Password

Company/Organization Name

Company/Organization Website

Please share information about your organization and how it aligns with HHS.

Each co-sponsorship proposal shall contain a description of: (1) The entity or organization's background and history, (2) its ability to satisfy the co-sponsorship criteria detailed above, and (3) its proposed involvement in the co-sponsored activity.

As part of the sponsorship, my company/organization is interested in sponsoring one or more of the following:

Breakfast Meeting

Lunch Meeting

Networking Breaks

If your application is accepted, we will connect you with the conference hotel for pricing information.

My, Company/Organization understands this co-sponsorship opportunity is not a grant or contract award, and each entity will be responsible for financially supporting its own activities. Potential co-sponsors must be capable of managing the day-to-day operations associated with the proposed activities in collaboration with the conference organizers and be willing to participate substantively in the execution of the co-sponsored activity(ies). Participation by co-sponsor(s) does not imply endorsement by the U.S. Department of Health and Human Services.

I agree

Company/Organization Logo

Please attach a copy of any materials the company/organization intends to provide to attendees.