ROZ Sponsor Confirmation Form

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ROZ Participant ID*
The ID issued to the ROZ participant once they have applied to the ROZ program. EX. RozApp-0001 Please ensure your sponsored participant has put in their ROZ application prior to you completing the sponsorship form so you have their ID.
Name of sponsored ROZ participant*
0 of 200 max characters
Organization/Company Name*
Have you sponsored a ROZ participant before?*
If you have not sponsored anyone before please select False. Upon doing so we require additional information. Thank you.
Organization FEIN
Please provide contact information for the employee responsible for the sponsorship process. The person to send the invoice to.
Contact Name*
First Last
Who to contact regarding this sponsorship.
Title*
0 of 200 max characters
Company Contact Email*
Company Contact Phone*
Company Address*
Street Address City State / Province / Region ZIP / Postal Code Country
How did you learn you could become a ROZ sponsor?*
0 of 300 max characters
300 character limit
Please provide any notes or applicable information.
0 of 500 max characters
500 character limit
My organization fully understands its obligation in sponsoring a Rural Opportunity Zone Participant.*
- Yes
- No
Program guidelines for Sponsors can be found at www.kansascommerce.gov
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Phone
This field is for validation purposes and should be left unchanged.