Sponsorship Application

“It is the mission of Valley Health’s-Charitable Giving Program to raise and steward funds that will improve the wellbeing of our patients and community.”

We proudly sponsor many different types of events and organizations. To be considered for a giving opportunity please submit the following application. Please note when submitting a Charitable Giving Application it does not guarantee approval as funds are limited. All applications must be submitted 60 days prior to event or opportunity.

If you have any questions regarding sponsorship requests please contact Jessica Staples jstaples@valleyhealth.org or (304) 781-5150.


Contact Information

Valley Health Employee YesNo

First Name (required)

Last Name (required)

Organization Name (required)

Is your organization a nonprofit (501c3)? YesNo

Does your organization provide services within the community that Valley Health Systems-Charitable Giving Program serves? (West Virginia-Cabell, Mason, Putnam, Boone, Wayne & Lincoln. Ohio-Lawrence) YesNo

Organization Type
EducationHealth & WellnessReligiousSportsOther

Description of Requesting Organization (required)

Organization TIN (required)

Daytime Phone Number (required)

Business Address (required)

Email (required)

Type of Consideration Request In-KindSponsorship

Official Name of Opportunity or Event

Event Date, Time, and Location

Description of Event (required)

Amount of people expected to attend event

Please explain how your opportunity will help to further the mission of Valley Health’s Charitable Giving Program?

Upload Information Regarding Sponsorship

Upload information regarding artwork specifications (file formats, ad size, resolution of graphics, etc.)

Limit of 4 files. Maximum file size should not exceed 5 MB. Supported file types include .jpg, .png, .pdf, .doc and .docx.

If approved Valley Health Systems will need to be provided with the opportunity to have input and approve all references to Valley Health Systems, Inc.-Charitable Giving Program which may include: signage, press releases, use of logo, etc.

By submitting the information above, I understand that this does not guarantee sponsorship as funds are limited.