Sponsorships & Donations

CARING FOR OUR COMMUNITIES

Sponsorships & Donations

Southwest Health exists to serve the healthcare needs of the people of southwest Wisconsin. Providing exceptional care with great compassion is what we do.

Excellence in healthcare requires us to be the best possible stewards of our financial resources. At the same time, we also recognize our role as a cornerstone institution in our region, and as such, we are a partner to our communities.

We give careful and diligent consideration to requests for financial and in-kind support for events and organizations as they relate to our mission, vision and values. Our Southwest Health Sponsorship Policy offers guidelines and parameters to help us respond to the many requests we receive each year.

Complete this form for Southwest Health to consider your request. Please include the most accurate information as it helps us serve everyone better by stewarding our resources the best way possible.

Sponsorships & Donations

Company/Organization Name

Name

First

Last

Phone

Is your organization tax exempt?*

Yes

Tax ID

Our vision is creating a healthier southwest Wisconsin, and our top criteria for supporting programs is whether it provides a DIRECT health benefit. Describe how your organization or this program addresses community health needs in southwest Wisconsin.

EVENT / PROJECT DETAILS

Name of Event/Project

Date of Event/Project

Location of Event/Project
Please include the address details of the event/project below.

Location of Event/Project <br> Please include the address details of the event/project below.

City

State/Province

Zip/Postal

Country

Description of Event/Project

Projected attendance at event/project?

How many years has this taken place?

Attendance last time?

What percent of the funds raised will directly benefit people in southwest Wisconsin? Also what percent is used for administrative expenses?

Response Deadline

SPONSORSHIP DETAILS (IF APPLICABLE)

Cost of Sponsorship

If available, what are sponsorship levels and associated benefits?

Describe the sponsor opportunity connected with your event/project?

Are there any other reasons this organization/program/event should receive funding?

Make donation or sponsorship check payable to:*

Address to send check:*

City

State/Province

Zip/Postal

Country

Event/Project Documents
Please upload any documents that will aid in our decision on your sponsorship request.

Maximum file size: 268.44MB

Acknowledgment
Please review our sponsorship/donation policy above before submitting this form. After you click "Submit" you will receive an automatic email to the address you listed.

I have read and I understand the guidelines, policies and approval process.

If you are human, leave this field blank.

Start Over

We receive many requests every year, and we are unable to fulfill all of them. Requests are evaluated monthly. Applicants will be notified by email of approval or denial. Questions may be directed to the Marketing and Communications staff at (608) 342-0941.