Sponsorship Requests | UMC Health System

Requesting Organization(Required)

Name(Required)

First Last

Phone

Email(Required)

Non-profit

Yes

No

Have you requested or received a sponsorship from UMC Health System before?(Required)

Yes

No

If so, when and how much was received?

Does a UMC Employee serve on your organization’s board?(Required)

Yes

No

If so, who?

Website(Required)

Facebook

Instagram

Twitter

Sponsorship Amount Requested(Required)

How will the sponsorship dollars be used?(Required)

Does your request involve a health and wellness component that leads to community benefit, health improvement, or education?

Yes

No

Does your sponsorship include opportunities for in-kind donation?

Yes

No

Sponsorship packet – Please include 501C3 & W9(Required)

Max. file size: 20 MB.

Event Name(Required)

Event Date(Required)

Event Location(Required)

Address

Street Address City State / Province / Region ZIP / Postal Code

Opportunity for volunteers?(Required)

Yes

No

If so, how many volunteers?

Anticipated attendance of this event:

Upload Event Flyer

Max. file size: 20 MB.

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Sponsorship Request Form