Back to Graduation MenuGraduation Ceremony Dinner SponsorshipAs in previous years, we are offering an opportunity for divisions and individual faculty members to participate as a table sponsor, allowing our junior residents and fellows to also attend the graduation festivities.If you or your division are interested in making a donation for the event, please fill out this form and proceed to pay for the sponsorship option selected. Payments can be made using a debit/credit card.If you have any questions about the event please contact the Medical Education team at mededteam@nicklaushealth.org Registrant Information Your Name * Your email * Department or Group Name * This is the name that will appear on the Sponsor List Choose your sponsorship level Bronze Sponsor - $90.00 (1 resident/fellow) Silver Sponsors - $180.00 (2 residents/fellows) Gold Sponsors - $350.00 (4 residents/fellows) Sapphire Sponsors - $550.00 (6 residents/fellows) Emerald Sponsors - $900.00 (10 residents/fellows) Diamond Sponsors - $1100.00 (12 residents/fellows) Bronze Sponsorship Bronze Sponsorship$90 | Covers registration of one non-graduating resident or fellow- - - - - - - - -Optional: You may chose to sponsor a specific junior/non-graduating resident or fellow. To do so, enter their name below in the corresponding space. Any unspecified seats from your contribution will automatically be used to sponsor a junior resident/fellow. Attendee #1 Silver Sponsorship Silver Sponsorship$180 | Covers registration of two non-graduating resident or fellow- - - - - - - - -Optional: You may chose to sponsor specific junior/non-graduating resident or fellows. To do so, enter their names below in the corresponding spaces. Any unspecified seats from your contribution will automatically be used to sponsor a junior resident/fellow. Attendee #1 Attendee #2 Gold Sponsorship Gold Sponsorship$350 | Covers registration of four non-graduating resident or fellow- - - - - - - - -Optional: You may chose to sponsor specific junior/non-graduating resident or fellows. To do so, enter their names below in the corresponding spaces. Any unspecified seats from your contribution will automatically be used to sponsor a junior resident/fellow. Attendee #1 Attendee #2 Attendee #3 Attendee #4 Sapphire Sponsorship Sapphire Sponsorship$550 | Covers registration of six non-graduating resident or fellow- - - - - - - - -Optional: You may chose to sponsor specific junior/non-graduating resident or fellows. To do so, enter their names below in the corresponding spaces. Any unspecified seats from your contribution will automatically be used to sponsor a junior resident/fellow. Attendee #1 Attendee #2 Attendee #3 Attendee #4 Attendee #5 Attendee #6 Emerald Sponsorship Emerald Sponsorship$900 | Covers registration of ten non-graduating resident or fellow- - - - - - - - -Optional: You may chose to sponsor specific junior/non-graduating resident or fellows. To do so, enter their names below in the corresponding spaces. Any unspecified seats from your contribution will automatically be used to sponsor a junior resident/fellow. Attendee #1 Attendee #2 Attendee #3 Attendee #4 Attendee #5 Attendee #6 Attendee #7 Attendee #8 Attendee #9 Attendee #10 Diamond Sponsorship Diamond Sponsorship$1,100 | Covers registration of twelve non-graduating resident or fellow- - - - - - - - -Optional: You may chose to sponsor specific junior/non-graduating resident or fellows. To do so, enter their names below in the corresponding spaces. Any unspecified seats from your contribution will automatically be used to sponsor a junior resident/fellow. Attendee #1 Attendee #2 Attendee #3 Attendee #4 Attendee #5 Attendee #6 Attendee #7 Attendee #8 Attendee #9 Attendee #10 Attendee #11 Attendee #12 Leave this field blank
