Community Event and Sponsorship Request Form

UPMC Western Maryland receives requests for community event and sponsorship contributions each year. While we are dedicated to improving the health and well being of people in the communities we serve, all decisions are based on consistency with the mission statement, vision and core values of UPMC Western Maryland and funding availability.

If you would like UPMC Western Maryland to consider a community event or sponsorship request, please submit the below form accurately. Submissions are received and evaluated on an ongoing basis.

Sponsorship Form

  • Requestor Information

  • Organization Information

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