Sponsorship Request: Adventist Health St. Helena

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Tax ID number *
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What are you requesting?
Please provide an explanation of your request (funding amount, promotional items, age group/audience, date of room use, other, etc.). *
Are you requesting sponsorship for an event? *

Yes No
What date do you need materials by? (Please note: responses take up to 45 days)

- Month - Day Year
Is this a healthcare or wellness related request? *

Yes No
How does your request provide community benefit? *
What goals will this sponsorship help you accomplish? *
Tell us how this request meets one of the needs outlined in our Community HealthNeeds Assessment *
How does this request enhance Adventist Health St. Helena's visibility/impact in our community? *
Are there any other organizations involved in this sponsorship? *

Yes No
If so, who?
Has Adventist Health St. Helena ever sponsored or partnered with your organization before?

Yes No
Please provide any additional information you feel would be relevant to this request *
Support Documents

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