• Sponsorship & Donation Request

    Neighborhood Pharmacy — Changing Healthcare in the VI One Patient at a Time.

  • Neighborhood Pharmacy supports organizations and initiatives that strengthen the U.S. Virgin Islands. Submission of this form does not guarantee approval or funding. All required documentation must be received before an application can be considered complete.

    Before you begin

    • Complete applications must be received at least twelve (12) weeks before your event or program start date.
    • Neighborhood Pharmacy generally provides support to an organization no more than once in any rolling 24-month period.
    • Neighborhood Pharmacy does not provide donations or sponsorship payments to individuals. Monetary support is issued by check only.

    Please plan to complete this application in one sitting.

    Allow approximately 15–20 minutes. Before starting, have your formal request on organization or event letterhead, completed W-9, and any applicable business license, nonprofit determination letter, board or leadership list, flyers or sponsorship materials ready to upload.

    Required documents must be uploaded through this secure application before you submit.

    This application cannot be saved and resumed later. If you close the form before submitting, your information may be lost.

    Need assistance? Email community@npvi.com. Please do not email W-9s or other sensitive documents.

    After submitting, retain your Request ID for future correspondence. Status updates are not available by telephone.

  • Please read our Sponsorship & Donation Policy (opens in a new tab) before continuing.

  • Section 1: Organization Information

  • Organization Type*

  • Government agencies receive additional compliance review under our policy.

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  • The person responsible for this request.


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  • Section 2: Request Information

  • Type of Request*

  • Select all that apply. Neighborhood Pharmacy may reclassify a request after review.

  • Event / Program Format*
  • Event Date or Program Start Date*
     - -

  • We use this date to measure the 12-week advance-notice requirement.

  • Your start date is less than 12 weeks away. Under our policy, requests received with fewer than twelve weeks’ notice may not be considered. You may still submit your application.

  • End Date
     - -

  • For ongoing programs, leave blank if there is no set end date.

  • The end date is before the start date. Please correct the End Date to continue.

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  • Island*
  • Which islands? (Select at least two.)
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  • Are you requesting a monetary contribution?*

  • Please enter an amount greater than $0.00 (for example 1000.00).

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  • Funding Needed By
     - -
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  • Section 3: Community Impact

  • Which populations will directly benefit?*

  • Check all that apply.

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  • Section 4: Recognition / Sponsor Benefits

  • Tell us what recognition your organization is offering. Any recognition arrangement is confirmed in writing by Neighborhood Pharmacy only after a decision is made.

  • What will Neighborhood Pharmacy receive?

  • Check all that apply.

  • “None Offered” can’t be combined with other recognition options. Uncheck “None Offered” or uncheck the other options to continue.

  • Commercial sponsorship requests must offer at least one recognition benefit. Uncheck “None Offered” and select the benefits you will provide.

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  • Section 5: Prior Neighborhood Pharmacy Support

  • Has your organization received support from Neighborhood Pharmacy during the past 24 months?*

  • Support includes monetary donations, sponsorships, products, promotional merchandise and in-kind contributions.

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  • Section 6: Use of Funds in the VI and Disclosures

  • Will all funds or resources provided by Neighborhood Pharmacy be used within the U.S. Virgin Islands?*
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  • Is any of the following connected to this request, your organization, or the event?*

  • Select all that apply. Disclosure does not automatically disqualify a request. It allows the additional compliance review our policy requires.

  • “None of the above” can’t be combined with other selections. Uncheck “None of the above” or uncheck the other options to continue.

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  • Section 7: Required Attachments

  • Accepted formats: PDF, DOC, DOCX, JPG, JPEG and PNG, up to 10 MB per file. Your documents are stored securely and can be viewed only by signed-in, authorized Neighborhood Pharmacy staff.

  • Upload a File
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  • Upload a File
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  • Is your organization legally required to hold a current business license?*

  • If you are unsure, upload what you have or explain below.

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  • Upload a File
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  • Upload a File
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  • Upload a File
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  • Upload a File
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  • Upload a File
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  • Upload a File
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  • Section 8: Payment Information

  • Approved monetary sponsorships and donations are issued by check only.

  • Section 9: Applicant Certification

  • By submitting this application, I certify that the information provided is accurate and complete; I am authorized to submit this request on behalf of the organization; submission does not guarantee approval or funding; Neighborhood Pharmacy may request or verify additional information; and Neighborhood Pharmacy generally provides sponsorship or donation support to an organization no more than once during a rolling twenty-four (24) month period.

  • Post-Event Requirement: Organizations receiving support may be required to submit a brief post-event report within 30 days, including confirmation of how Neighborhood Pharmacy’s contribution was used and evidence of agreed-upon sponsorship recognition.

  • Date*
     - -
  • Today (reference)
     - -
  • Should be Empty: