Application for PeaceHealth Sponsorship - Longview

Form Description

PeaceHealth is committed to positively influencing our community and fostering the health and wellness of our neighbors. We welcome requests for support from local not-for-profit organizations whose missions and strategic goals align with ours.

Please consider the following guidelines when submitting an application for sponsorship:
• We ask that you please submit your request at least six months prior to your deadline for print, rather than the actual event.
• One request per organization per year.
• We are unable to accommodate requests from individuals, for-profit companies, or organizations outside of our service area.

For questions, please contact Debra Carnes, director of strategic communications and engagement for PeaceHealth's Columbia network -


Fill in the information below. Use the scroll bar on the right to move down the page. When finished, click the Save button located at the bottom of the form. Questions marked with a red * require a response.

Please note that all requests must be submitted AT LEAST SIX MONTHS PRIOR to your printed collateral deadline.

If you would like a copy of this completed form, please enter your email address.