Partnership Application

Slidell Memorial Hospital: Community Partnerships

Welcome to the SMH Partnership/Participation Application for community support and sponsorships for events in and around Slidell, Louisiana and St. Tammany Parish. As part of our mission to improve the quality of life in our community, SMH evaluates all opportunities to participate in community events. Please complete the form below so that we may evaluate your request.

Community Partnerships and Civic Sponsorship

Please check your Internet browser settings to ensure that cookies are enabled before you complete this form.

Please note that in most cases, SMH requires a minimum of 90 days advance notice to consider your request.

Event Name
Type of Event
Event Location
Event Date
Are entrance tickets required for this event?  If so, how will guests obtain tickets?
Are there parking instructions for this event?
Event Attire
Event Audience Description
Is the event family friendly?
Family Friendly
Is there a rain date?  If so, when?
Rain Date
Event Website
Please tell us more about your event or specific details of your request.
Please be sure to include the following:
  • Marketing plan for the event
    • Types of media that will be used to promote event (social media, newspapers, magazines, etc.)
    • How often will messages be published/posted through selected media?
  • Sponsorship levels available and added value that comes with each level
    • If purchasing tickets is required, how many will be provided with the sponsorship?
    • Does sponsorship include signage? If so, what size signage and placement?
Tell us more
Please list the contact name, phone number and email address.
Contact Information
Please list a complete mailing address for payment.
Mailing Address
Check Payable to
Has SMH participated in this event in the past? If so, please list the dates of previous participation. SMH requires a new W-9 form each calendar year. If you have not yet submitted one for this calendar year, please use the Upload button below to submit your organization's W-9 form.
Previous Involvement
I understand that this form must be completed no fewer than 90 days prior to the event, and the completion of the form does not guarantee participation by SMH. I also understand that the participation check may not be received until after the event date.
To help prevent automated submissions, please enter the letters in the image below.  
     Reload Image

 Submit     Reset


© Copyright 2019, Slidell Memorial Hospital. All rights reserved.