Community Sponsorship Support Request Form

Please select the type of sponsorship support you are seeking (select all that apply):

Organization name

Organization type

Requester's Information

First and Last Name, Role or Title, Email Address, Phone Number

Organization Address

Street Address, City, State, ZIP

Please provide a summary of the support request

(400 characters or less) If this is an event, please include expected number of individuals in attendance. Please also include date, time, and title of event

Prioritization

Preference will be given to requests that support Reid Health's strategic priorities. Which one(s) is/are your organization/activity supporting?

Request Category (select all that apply)

Select county served

Form Date Field

Required attachment(s)

Please upload supporting documentation detailing sponsorship benefits and your organization's W-9.

File Upload

Drop your files here

Request review

Your request will be reviewed by an internal committee. We will follow up with you by email. Thank you.

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