Community Partnership Application
Sponsorship type
*
Annual Partnership
Single Event
In Kind Donation
Focus area
*
Housing and homelessness
Mental health
Access to health care
Economic insecurity
Substance use and misuse
Chronic diseases
Environmental pollution
Food insecurity
Sexually transmitted infections
Violence and injury
Preventive practices
Dental care/oral health
Birth indicators
Overweight and obesity
Alzheimer's disease
Unintentional injuries
Geographical target area
*
Please be as specific as possible
Zip code(s)
*
Requested sponsorship amount
*
How does the work of your organization align with Adventist Health's mission and focus areas?
*
Will this sponsorship request include events and activities?
*
Yes
No
Does this sponsorship request include requests for Adventist Health to provide goods or services, like education, health screenings or in kind donations?
*
Yes
No
Please upload any event fliers, sponsorship request documents
Browse Files
Cancel
of
Name of Applicant
*
First Name
Last Name
Nonprofit
*
Yes
No
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Organizational Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Submit
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