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

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Company/Organization Name

First & Last Name

Phone Number

Is your organization tax exempt?

Tax ID

Event/Project Details

Name of Event/Project

Date and Time of Event/Project

Location of Event/Project

Address Line 1

Address Line 2

City

State

Zip Code

Please include the address details of the event/project below

Description of Event/Project

Projected attendance at event/project

Projected Time this

How many years has this event taken place?

Attendance at last event?

What percent of the funds raised will directly benefit people in southwest Wisconsin? What percentage will be used for administrative expenses?

What is the response deadline for this event/project?

Sponsorship Details (if applicable)

Cost of Sponsorship

If available, what are sponsorship levels and associated benefits?

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

Where should the donation or sponsorship check be made payable to?

Address

Address Line 1

Address Line 2

City

State

Zip Code

Event/Project Documents

Click or drag files to this area to upload. You can upload up to 2 files.

Please upload any documents that will aid in our decision on your sponsorship request.

Acknowledgment

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

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

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.