About PresbyterianChaplaincy Services About Chaplaincy Services Chaplaincy StaffCalendar of EventsMake a Donation Chaplaincy Services for Patients Committed to Community Health Community Health Resources and ProgramsCommunity Health Resource CenterAssessments and Reports Legacy of CaringCurrently selected Presbyterian Leadership Presbyterian Healthcare Services LeadershipPresbyterian Healthcare Services Board of DirectorsPresbyterian Health Plan Board of Directors DAISY AwardROSE AwardIRIS AwardGolden Stethoscope AwardCommunity Donations Presbyterian Healthcare Foundation Foundation FocusOur Philanthropic PrioritiesWays to Give Community Cornerstone CampaignGuardian Angel ProgramGive Now Planned GivingDonor Recognition - Luminary CircleFundraising Events Daffodil DaysLaughter is the Best Medicine Lives We've TouchedDonor StoriesPhysician Appreciation AwardsOur TeamHistory and MissionReports and Publications Volunteer Home|Community|Legacy of Caring|Community Donation Application Community Donation Application Page Image Page ContentIf you wish to request consideration of a sponsorship or a grant from Presbyterian Healthcare Services, please complete this form and submit it to Julia Ruetten, jruetten@phs.org, as early as possible prior to the date funding is needed. * = indicates required fields Organization Information Name of Organization* Type of Organization* Organization website* Organization Purpose or Mission Statement* Contact Information Point of Contact* Phone Number* Email Address* Program/Event Information Program/Event Name* Type of Program/Event* Program/Event Date* mm dd yyyy Expected Attendance or Community Reach* Program/Event Description (include details on the intended use of the donation)* Any Additional Information* Sponsorship Level or Grant Amount Requested* Will Presbyterian be acknowledged as a supporter?* Yes No Attachments The control cannot be rendered without valid Public and Private keys. Additional Content Back To Top Sidebar Content