ROZ Sponsor Confirmation Form

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ROZ Sponsor Confirmation Form
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ROZ Sponsor Confirmation Form | Kansas Department of Commerce

ROZ Participant ID *(Required)

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 *(Required)

First Last

Organization/Company Name *

Have you sponsored a ROZ participant before? *(Required)

If you have not sponsored anyone before please select No. Upon doing so we require additional information. Thank you.

Organization FEIN

Sponsorship Representative

Please provide the contact information for the person who will be responsible to oversee the ROZ Sponsorship for your company. This person will receive the invoice, and process the payment annually.

Contact Name(Required)

First Last

Title(Required)

Company Contact Email(Required)

Phone(Required)

Company Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

How did you learn you could become a ROZ sponsor?(Required)

Please provide any notes or applicable information.