Request Support

UCHAPS is pleased to offer support to support the success of HIV Testing events nationwide. Please complete the application to request funding for your event.


Name *
Name
http://
Address
Address
UCHAPS is currently anticipating support from a variety of HIV Testing Kit Distributors. If made available, which HIV Testing Kit would you prefer?
If approved , please select the type of expenses the UCHAPS sponsorship will cover (check all that apply) *
$
Please send your W9 to Kirby@uchaps.org
Disclaimer
A completed application does not guarantee support. A UCHAPS Staff person will contact you with further details