Request for Corporate Sponsorship/Donation

Delta Dental of South Dakota is a nonprofit company dedicated to improving oral health. Our sponsorships and donations are focused on the three main areas listed below. Projects must primarily benefit the people of South Dakota.
  o Oral & General Health Improvement
  o Education & Learning
  o Charity & Community
Note that Delta Dental has separate forms for toothbrush donation requests and grant applications. Grant requests, which are submitted to the Delta Dental of South Dakota Foundation, are to be submitted for oral-health specific projects and only non-profit organizations, government agencies/schools or Native American Tribal Organizations are eligible.
Please complete the questions below. We will review your application and respond within 30 days. Please ensure your sponsorship request is submitted at least one month before the date you would like to receive it.
We are unable to support events/projects outside our focus areas, so please do not submit sponsorship requests for the following:
  • Political organizations or campaigns
  • Projects that exclusively serve religious purposes
  • Organizations that discriminate by race, religion, color, creed, gender, or age
  • Individuals
Section 1. About your Organization
Name of your business or organization:
Mailing Address:
City: State: Zip:
Contact person:
Contact information:                   (email)
Tax ID Number:
Applicant Organization’s Mission (no more than 50 words):
Section 2. About Your Project
Project name and project or event summary (no more than 50 words):
Date of Event:
Target Audience (number of attendees, ages, etc.) Please break out ages by children 1-19 and adults 20 and over:
What is the reach or geographical location of the project (list counties/regions or statewide)?
Section 3. Sponsorship Benefits
Please describe what you are seeking from Delta Dental (give aways, money, etc.). Please specify amount(s) requested and the required date of receipt for each item. For example, $200 by April 5, 2016.
Has Delta Dental sponsored this program in the past? If so, please indicate years(s) and amount of the past three sponsorships.
How will this project support Delta Dental’s mission to improve oral health and overall health for South Dakotans?
Are there other major sponsors of this project? What level of sponsorship are you requesting from Delta Dental, (i.e., bronze level)?
What are the benefits to Delta Dental in sponsoring your project (acknowedged in program/media, logo on T-shirt, event booth/space etc)?
How did you hear about the Delta Dental corporate sponsorship program?
Questions? Contact Dayna Hepper at 605-494-2577 or via email at
Thank you for completing the Delta Dental sponsorship application.