Sponsor Form

Company

This field is for validation purposes and should be left unchanged.

Sponsor Information

Business/Organization Name(Required)

Contact Person(Required)

Title/Position(Required)

Email Address(Required)

Phone(Required)

Website(Required)

Business Address

Street Address City State / Province / Region ZIP / Postal Code Country

Social Media Handle(s):

SELECT YOUR SPONSORSHIP

Sponsorship benefits are outlined in the Lead on Fire Leadership Conference 2027 Sponsorship Package.

Ignite Sponsor — $1,000

Fuel the Flame Sponsor — $500

Spark Sponsor — $250

Friend of Lead on Fire — $100

🎓 EMERGING LEADER SCHOLARSHIP FUND

Help Us Fuel the Next Generation of Leaders ❤️🔥

Would you also like to support the Emerging Leader Scholarship Fund?

Scholarship contributions help students and recent graduates attend Lead on Fire, connect with experienced leaders, and build relationships that can influence their careers.

Their presence also gives employers and business owners attending the conference an opportunity to connect with emerging talent who may become future interns, employees, or valuable professional connections.

Select Your Contribution

$25

$50

$100

$149 — Fully sponsor one Emerging Leader

$298 — Fully sponsor two Emerging Leader

$447 — Fully sponsor three Emerging Leader

Not at this time

Every contribution will be recognized.

All individuals and businesses who contribute to the Emerging Leader Scholarship Fund will receive recognition as scholarship supporters.

Those who contribute $149 or more to fully sponsor at least one Emerging Leader will receive special recognition as an Emerging Leader Champion. ❤️🔥

You may contribute to the Emerging Leader Scholarship Fund without purchasing a conference sponsorship.

IN-KIND PARTNERSHIP

Are you interested in providing products or professional services in support of the conference?

Yes

If yes, please describe the product or service you would like to provide:

Estimated Value ( $ )

In-kind partnership opportunities are reviewed individually and must be approved in advance. Recognition and benefits will be based on the type and value of the approved contribution.

SPONSOR INFORMATION & MATERIALS

Brief Business/Organization Description

Please provide 2–3 sentences that may be used for conference and promotional purposes.

Logo

Sponsors receiving logo recognition will be asked to provide a high-resolution PNG or JPG version of their company/organization logo.

I have a logo available to submit

I do not have a logo

Promotional Materials

If your sponsorship includes attendee bag materials:

Instructions and deadlines for delivery of materials will be provided after sponsorship is confirmed.

Yes, we plan to provide promotional materials

No, we will not provide promotional materials

SPONSORSHIP TOTAL

TOTAL COMMITMENT

Credit Card

SPONSOR AGREEMENT

By submitting this application, I understand that sponsorship is not confirmed until the application has been accepted and payment has been received.

I understand that sponsorship benefits are based on the selected sponsorship level and that materials must be submitted by the deadlines provided by the conference organizer to guarantee inclusion in conference materials.

In-kind partnerships must be approved in advance and are separate from paid sponsorship packages.

Name

Date

Signature

Phone

This field is for validation purposes and should be left unchanged.

First & Last Name(Required)

Title/Organization(Required)

Email(Required)

Phone(Required)

NAB# (for LTC or AL Administrators only)

Breakout Workshop Selection (Day 2: 10:30 AM – 12:30 PM)

Please select one workshop below:(Required)

Transforming Dementia Care: Leadership Tools for Managers in Healthcare and Beyond

Learn practical ways to support staff, reduce burnout, and strengthen person-centered dementia care.

The Genius of Teamwork: Unlocking the Six Working Geniuses in Leadership

Discover how to harness each person’s natural genius to build balanced, high-performing teams.

Total

Price:

Coupon

Total

Credit Card

Special Requests or Dietary Restrictions

CAPTCHA

Instagram

This field is for validation purposes and should be left unchanged.

Name(Required)

Company Name(Required)

Email(Required)

Phone(Required)

Current Job Title and/or Qualifications(Required)

Topic of Presentation(Required)

URL

This field is for validation purposes and should be left unchanged.

Sponsor Information

Organization/Business Name(Required)

Contact Person(Required)

Email Address(Required)

Phone(Required)

Mailing Address

Street Address City State / Province / Region ZIP / Postal Code

Sponsorship Options Tier 1(Required)

None

Torchbearer Sponsor – $2,500 (Title Sponsor)

Visionary Flame Sponsor – $1,500

Beacon Blaze Sponsor – $750

Catalyst Spark Sponsor – $500

Steady Ember Sponsor – $250

Lead on Fire Friend – $100

Select Qty

Sponsorship Options Tier 2(Required)

None

Breakfast Sponsor - $500

Break Sponsor (AM or PM) - $300

Speaker Session Sponsor - $750

Quantity

Vendor Opportunities(Required)

None

Yellow Spark Vendor – $150

Payment Information

Payment Method(Required)

Check

Credit Card

Invoice Needed

Yes

Coupon

Total

Credit Card

Additional Notes or Special Recognition Requests

LEAD ON FIRE LEADERSHIP CONFERENCE 2027

Sponsor Application

Sponsor Information

🎓 EMERGING LEADER SCHOLARSHIP FUND

Every contribution will be recognized.

IN-KIND PARTNERSHIP

SPONSOR INFORMATION & MATERIALS

Logo

Promotional Materials

SPONSORSHIP TOTAL

SPONSOR AGREEMENT

Breakout Workshop Selection (Day 2: 10:30 AM – 12:30 PM)

Sponsor Information

Payment Information