Sentara Sponsorship Application 

| Resume a previously saved form
Resume Later

In order to be able to resume this form later, please enter your email and choose a password.

Sponsorship Guidelines

For 130 years, Sentara Healthcare has proudly lived its mission to improve health every day. This is accomplished, in part, through our commitment to our partnerships within our communities. Sentara teams up with organizations to fund numerous programs and events throughout all of our service areas in Virginia and North Carolina. Sentara supports a broad scope of community involvement including but not limited to education and prevention activities as well as other important initiatives that inspire, empower and support our communities.


Eligibility Requirements:

  • Event theme and purpose must align with Sentara mission and core values of promoting health and wellness and addressing social determinants of health.

  • Sponsorship applicants must be 501c3 organizations and provide most recent IRS 990 Form upon request, exclusions apply**

  • Only one application per organization will be reviewed each calendar year. If your organization receives a grant or sponsorship from Sentara or Optima,  it is not eligible for a sponsorship award from any location (including hospitals) in the same calendar year.

  • Prior sponsorship awards do not indicate a guarantee for future funding.

  • Please fill out the online application completely.

Criteria

The funding must meet the following criteria:

  • Benefit a 501c3 organization that promotes medical, physical, mental and emotional health, or safety and wellness

  • Promote community cohesiveness, cultural enrichment or cultural diversity

  • Demonstrate collaboration and coordination with other community organizations

  • Provide intervention for social determinants of health

  • Please note that Sentara Healthcare will not sponsor individuals, tournaments, organizations already supported by our employee giving, political and labor organizations, little leagues, sports teams or booster clubs, alcohol, tobacco or gambling-themed events.

Awardees
  • Upon request, awardees may be asked to provide a report that includes how many lives were touched during the event or be asked for information we can share with our communications team

  • Approved sponsorship payments will be processed via check once an invoice with the event name, award amount and organization’s EIN, W-9 and supplier verification forms are submitted.

Important dates:

  • Applications must be submitted at least 60 days in advance of the event.  

  • We will process the applications within 45 days of the initial application. 

  • Approvals will be communicated via email.

Questions:

  • If you have any questions regarding sponsorship, please call 757-455-7976.

 

**At the discretion of the committee, award and recognition programs can be considered for sponsorship

Sponsorship Application

  • To save your progress, click the checkbox in the top right-hand corner and enter a valid email and password.
  • For questions, please call (757) 455-7976
    • As stated in the guidelines, only one event can be considered for each calendar year. 
    • Please also keep in mind that if you have already received a grant from Sentara this year, your request will not be considered.

Organization Information
Enter your Tax ID number (EIN) in the following format: ##-#######
Proposal Contact Information
Event Information
$
Event Location
$
$
$
Event Narrative
$
$
Enter number
Maximum of 30mb