Application Form

Does your group want to raise money to support Providence hospitals, caregivers and programs in Spokane? Complete the form below to start the process.

Please Note: We encourage you to review our Fundraising Guidelines to ensure you are prepared to complete this form in its entirety. You will not be able to save your work, nor return to your form later, so please take notes if you have questions. A copy of your application will be emailed to you upon completion.