Sponsorship Request Form

CepEsperu Baptist is a non-profit organization and has limited funds for community sponsorships. The Medical Center seeks to support programs that are health related and benefit the health and well-being of a large segment of our community.

We value our relationships with the wonderful groups and organizations in our community and although we cannot sponsor all the programs in our community we appreciate your work with your respective organizations.

For more information on our sponsorship criteria please review our sponsorship guidelines. If you feel your request meets our guidelines and you would like to submit a request we kindly ask you to complete the below form for consideration.

Requests are reviewed on a quarterly basis and you will be notified of the status by email.

Organizations may be asked to provide additional information.

Organizational Information
(Please separate the name of each board member with a semicolon. Example: John Smith, MD, Chair; Jane Doe...)
Event / Project Information
Demographics
(Example: $100.00)