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Donation and Sponsorship Request Application -  Greater Phoenix Area
Fiscal Year 2025 (July 1, 2024 – June 30, 2025)

Donations and sponsorship are given from the hospitals' operating budgets to non-profit organizations for defined purposes that address community health needs. The sponsorship oversight committee shall approve or decline each application based on compliance with guidelines and other strategic considerations.    

To Qualify

  • Requests should focus on activities or services that address one or more identified community health needs.  We prioritize requests that seek to achieve a community benefit objective, including improving access to health services, advancing public health, advancing general health knowledge, and relieving the burden of government to improve health. The connection between health needs and the activity or service must be clearly stated in the application. Organizations that address one or more of our identified community health needs will be given greater consideration.  Those identified community health needs are:
    • Access to Healthcare: Financial Security, Immunizations, Maternal/Child Health
    • Affordable Housing/Homelessness
    • Behavioral/Mental Health/Suicide
    • Cancer
    • Chronic Health Conditions: Cardiovascular, Diabetes, Obesity, Oral Health
    • Equity: Health, Racial, Social
    • Nutrition: Food Insecurity, Exercise
    • Substance Abuse/Addiction
    • Safety, Trauma and Violence: Domestic Violence, Human Trafficking, Injury Prevention
  • Only 501(c) 3 organizations are eligible to apply. 

  • Geographic area: services supplied by requesting organizations should be available to residents of Arizona, preferably the Metro Phoenix area.  Organizations are advised to submit applications focused on projects, programs and activities supported by funds raised—and provided—in Arizona. An explanation of how funds will be used must be included.   

  • The following types of requests may be made under this application: donations that directly fund services, sponsorships of community events that raise funds for and that may directly deliver services, and in-kind contributions. 

  • Applications must demonstrate a commitment to provide services regardless of race, religion, sex, age, disability or national origin.

  • To avoid duplication, requests from national organizations should be coordinated between the regional and county affiliated offices within Arizona.

  • If the organization intends to submit multiple requests in the course of a one-year period, please submit all such requests separately but at the same time so we can best determine the request that fits our mission and health improvement goals.  

  • Event-related sponsorship applications must be submitted at least 75 days prior to the event in order to be eligible for consideration. 

We DO NOT Fund or Sponsor:

  • Partisan political groups/activities/campaigns, endowments, memorials, individuals, or tours
  • Requests from individuals or for-profit companies
  • Capital and Equipment
  • Programs that are inconsistent with our core values
  • Out of area organizations or most entertainment events
  • School or club sports or academic teams or activities including band, boosters, cheer, competitions, conferences, dance, field trips, fundraisers, tournaments, etc.  

Please note that while all sponsorships are considered and all are worthy, those which align with our mission and health priorities in the communities we serve will be given greater consideration.

Questions?  Please reach out to Julie Graham at julie.graham@dignityhealth.org or 480-728-9970. 
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Organization Name (must be 501c3 non-profit) *
Non-profit Tax ID Number *
Contact Name
 *
Contact Email *
Contact Phone
 *
Payment Mailing Address
 *
Organization Website
Briefly describe the mission of your organization
 *
Type of request
 *
Specific name of event/program/service being requested (i.e. Kindness Walk) *
Briefly describe the request. *
Please identify which community health need/s you will be addressing. Check all that apply.  *
Required
Explain how the contribution aligns with the mission, vision and values of Dignity Health.
 *
Name and email of Dignity Health employee champion that is directly involved with your organization. They must be willing to oversee all aspects of the event sponsorship, as needed. Please include how they are affiliated with your organization (i.e. board member)
Date of Event (if any)
Start/End Time of Event (if any)
Exact Address/Location of Event (if any)
Marketing Deliverables and Deadline - i.e. ad specs, logo (if applicable)
List additional sponsorship offerings received, i.e. seats, golfers, walk registration, etc. (if any)
Deadline date you need the names of event attendees (if any)
Please list the name, phone number and email of the person to receive attendee list.
Dollar amount of request (please include all sponsorship level options - email flyer to julie.graham@dignityhealth.org with W-9 - make sure to label the files with the name of your organization)
 *
What percentage or dollar amount of the total contribution will be restricted to a community benefit purpose as described in the "to qualify" section above, for activities or services that address one or more identified community health need?  (Note: This means funds that will directly provide services to people, and does not include funds that will help pay for an event, its promotion or benefits to its sponsors.)
 *
In the past two years, has your organization received funding from a Dignity Health facility including Arizona General Hospital, Barrow Neurological Institute, Chandler Regional Medical Center, Dignity Health Medical Group, Mercy Gilbert Medical Center, St. Joseph’s Hospital and Medical Center and St. Joseph’s Westgate Hospital, Yavapai Regional Medical Center? If so, please explain when, how much and for what. This includes sponsorship, donation, grants, etc. 
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After the Google Form has been submitted, please email the following documents to julie.graham@dignityhealth.org using the Subject Format: Additional Documents for Donation Request | Insert Name of Your Organization. Please take note of this and label all files with the name of your organization.
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