Weather Notice- All HopeHealth offices and pharmacies are open normal hours on Monday, 1/26/26, with the exception of HopeHealth in Hemingway, which will open…

HopeHealth is a proud sponsor of many philanthropic organizations each year. We are a nonprofit organization and have limited funds to sponsor events. Every effort is made to support events and organizations that align with our charge to provide accessible and affordable health care in our community.

Please confirm that your request is consistent with funding priorities described above. Upon receipt of the application, an acknowledgement is sent to the applicant. The review and approval process takes about four to eight weeks. *All requestors must provide documentation of 501c3 status.

Past sponsorship recipients:
Click here to complete your proof of performance form.

Sponsorship Form:

*A W9 must be sent via e-mail to didavis@hope-health.org at the time of the submission for the request to be reviewed. Click here to download a blank W9 Form. Please note that a 30-day notice is needed for sponsorships.

Sponsorship Application

Please fill out the form below

What is the name of your business/organization?

Business/Organization Address

Address Line 1

Address Line 2

City

State/Province

Zip/Postal

Contact Name *

Contact Job Title *

Contact Telephone Number *

Contact Email Address *

Is your business/organization non-profit?

Name of your opportunity or event *

Date of opportunity *

Time of opportunity of event *

Number of people expected to attend *

What is the request? *

If funding is requested, please specify the amount *

If items are requested, please specify the needs *

Has HopeHealth sponsored this event in the past? *

In fifty words or less describe the organization and event you represent *

What is required of HopeHealth? *

In fifty words or less, explain how your event relates to HopeHealth’s mission *

In fifty words or less, describe the benefits HopeHealth will receive from the sponsorship *

Captcha

If you are human, leave this field blank.

Making a Positive Difference in the Communities We Serve

Sponsorship Application

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Sponsorship Form:

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