Diversus Health is a proud sponsor of many community events. Before submitting a request, please consider the following:

Completing this form does not guarantee a sponsorship or donation.
Sponsorships and events should align with Diversus Health's mission and vision.
Please make your request at least 45 days prior to your event or sponsorship deadline.
We will contact you within two weeks regarding the status of your request.

Point of Contact

Name *

Title *

Email *

Phone *

Event Information

Name of event *

Event date * +

Event start time

Purpose of event *

What will the funds raised at the event be used for? *

Sponsorship packages available *

Requested sponsorship level *

Please upload sponsorship document:

What will the ongoing relationship/partnership look like between your organization and Diversus Health to better serve our community? *