Community Development Sponsorships
Organizations with 501(c) (3) status are eligible for funding to support events such as galas, golf outings and leadership programs. Funding is also available for causes that align with LifeBridge Health’s mission and business objectives.
Application Contact
*
First Name
Last Name
Application Email
*
example@example.com
Name of Organization/Group Requesting Sponsorship
*
Taxpayer ID Number
Contact Person
*
First Name
Last Name
Contact Person Phone Number
*
Please enter a valid phone number.
Contact Person Email
*
example@example.com
Donation/Sponsorship Dollar Amount Requested:
*
Purpose of request (what will a donation help you accomplish?).
*
Tell us about your organization, group or event:
*
Number of people attending the event and/or event reach:
*
Does this sponsorship include advertisements that will be visible for more than one week (example: banners, scoreboards, etc. lasting an entire season)?
*
Yes
No
Are there any other healthcare related sponsors?
*
Yes
No
If Yes, Please List Other Healthcare Sponsors:
Is sole (exclusive) sponsorship from LBH an option for your event?
*
Yes
No
If Yes, What is the Cost?
Check Payable to:
*
Date Check is Needed:
-
Month
-
Day
Year
Date
Address (where check should be mailed)
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Feel Free To Provide Any Further Information Below:
Any additional supporting materials (i.e. pictures, flyers)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Submit
Should be Empty: