Community Engagement & Sponsorships Sponsorship Request Form

Sponsorship Request Form

Thank you for your interest in seeking support from Regional Health. The health and wellbeing of the communities we serve is important to Regional Health. We believe in growing strong partnerships, and we consider sponsorships an investment that supports our mission to “Make a difference. Every day.”

When requesting funds or sponsorship from Regional Health, follow the process outlined below.

  • Complete and submit sponsorship application below. All requests must be completed using this form.
  • Include any brochures, flyers, budget, or information detailing the event or organization with the submission. (Please upload documents in the form below.)

 

Organizations submitting for multiple events/programs throughout the year must combine all requests into one form, so we have a full picture of your organization’s needs.

Sponsorship Request Form

  • Date Format: MM slash DD slash YYYY
  • Accepted file types: jpg, gif, png, pdf.
  • Please enter a number greater than or equal to 1.
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Have you contacted a Regional Health hospital or clinic in Custer, Lead-Deadwood, Sturgis or Spearfish for sponsorship for this same program/event?
  • Year & Amount
  • Drop files here or
    (detailed sponsorship packages, program/event materials, budget, etc.)