Covenant Health is an innovative, Catholic regional delivery network and a leader in values based, not-for-profit health and elder care. We sponsor hospitals, nursing homes, assisted living residences and other health and elder care organizations throughout New England.
LOCATIONS

Sponsorship Request Form

If you would like St. Joseph Hospital to consider a request for sponsorship, support for a community event, or other assistance, please submit your request by using the request form below.


Click the Submit Request button at the bottom of the screen when finished. Due to the number of requests we receive, we are only able to respond to those requests that have been approved. 

Requestor Information

Full name:  *Phone Number:  *E-Mail Address:  *Mailing Address:  *Best time and method to contact you:  *Request Type (Check all that apply): 



Request Details

Name of group or organization making the request: Name of event: Date of event: Location of event: What is the purpose/goal of this event or request: Brief description of event: Who will be attending (target audience): Number of participants expected: Are there special issues such as language, culture, or literacy that we should be aware of? If yes, please explain special issues: Other organizations who are expected to participate: How will this event or sponsorship be publicized or promoted and by whom: Are promotional opportunities available for St. Joseph Hospital? (i.e., ads in program, informational booth, etc.): If yes, please list promotional opportunities: Additional details: 

Comments

Please let us know any other comments that may be helpful in the review of your request: