Corporate Sponsorship Application Form

As part of our mission to create healthier communities, CHI Franciscan Health supports the charitable efforts of a number of organizations through our Sponsorship Program. All sponsorship requests must be submitted in writing, and must be accompanied by this application form. Please reference the CHI Franciscan Health Sponsorship Guidelines to review our criteria for sponsorship.


  Organization Details
   
  Date *:

 
Jump to documents
   
  Name of organization *:
Date founded:

 
     
 Address:
Telephone:

 
Fax:

 
     
  CEO/President *:
Email Address:
   
  Purpose/mission of organization:
   
  Tax-exempt status (please check one) *:


   

  Event Information
   
  Event Name *:
   
  Nature of Event (please describe in detail):
   
  Event Date *:

 
Location:
     
  Projected Attendance:
Attendance Last Year:
   
  Target Audience:
   
  How many years has this event taken place:
   

  Request Details
   
  Request is for (please check one) *:


   
  Event Category (please check one) *:



   
  If available, what are the sponsorship levels and associated benefit. (attach list if necessary):
   
  Are there any other sponsors already committed? If so, who and at what level? (Please note any other health related sponsors):
   
  Is there any exclusivity within sponsorship level? If so, please explain:
   
  Has a request for funding been made to any other Franciscan hospital, clinic or department? If so, please list:
   

  Narrative Questions
   
  What are the marketing and communications opportunities for Franciscan Health System or its hospitals associated with this event, both in advance and at the event? :
   
  Is there an opportunity for a Franciscan representative to have a speaking role at the event. If so, please describe:
   

  Additional Information
   
  Additional information related to your request may be submitted in addition to your application form. Please list additional items for submission here:
   

  Attach documents (if any):
     
  Maximum allowed size is 5 MB per file. Allowed document types are JPG, DOC, DOCX and PDF.
     
 
 
 
 
 
   

Submitted by:
Submitter's email:

CHI Franciscan Health includes St. Joseph Medical Center, Tacoma; St. Francis Hospital, Federal Way; St. Clare Hospital, Lakewood; St. Elizabeth Hospital, Enumclaw; St. Anthony Hospital, Gig Harbor; Highline Medical Center, Burien; Harrison Medical Center and Harrison HealthPartners, Kitsap and Olympic peninsulas; Franciscan Hospice House, University Place; Franciscan Medical Group clinics and providers, Pierce, King and Kitsap counties and the Franciscan Foundation.