Request Sponsorship from Resolute Baptist Hospital

Each year we receive requests for millions of dollars to support very worthy organizations. Although it's not possible to fund every request, the information you provide below will help us determine whether Resolute Baptist Hospital will offer sponsorship to your organization.

Requests are reviewed, evaluated and decided upon by committee and selected prior to the start of the Resolute Baptist Hospital fiscal year. We ask that community organizations submit requests three months to a year in advance, especially if this is a first-time sponsorship request. You will be notified if your request for sponsorship is approved.

Section 1: Information about the person completing this form

First Name ^*

Last Name ^*

Zip Code ^*

Job Title

Organization Name ^*

Address ^*

City ^*

State:

Phone Number ^*

Email Address ^*

Today's Date

MM/DD/YYYY

Section 2: Information about the sponsorship opportunity or event

Name or Requesting Organization ^*

Name of Sponsorship Opportunity or Event ^*

Are you a registered 501(c)(3) non-profit organization? ^*

Sponsorship Event Date ^*

MM/DD/YYYY

Describe why Resolute Baptist Hospital should sponsor your event ^*

Total Cost of Sponsorship Requested ^*

Has Resolute Baptist Hospital sponsored this event/organization in the past? ^*

Yes

I don't know

Include any additional information and sponsorship benefits that may assist in the evaluation of this request

Verification ^*

I have read and answered all required (*) questions.

Sponsorship Request

Section 1: Information about the person completing this form

Section 2: Information about the sponsorship opportunity or event

Community Outreach