Munson Healthcare Sponsorship Request Form

Thank you for your interest in requesting funding for your event or organization from Munson Healthcare.

What Munson Healthcare Supports

Munson Healthcare considers requests from non-profit, tax exempt, 501(c)(3) organizations and programs with a primary focus in the following areas:

Community Health, Health Promotion, Health Education and Health Advocacy programs that are designed to improve the health and well-being of people living in Northern Michigan
Civic and Business Organizations that promote good citizenship and the economic viability of Northern Michigan (ex: Chambers, Rotaries, etc.)
Arts and cultural enrichment that benefit people living in Northern Michigan (benefit patients/patient experience)

What Munson Healthcare Does Not Support

Organizations without current IRS 501(c)(3) tax-exempt, public charity status
Organizations that discriminate in the provision of goods or services based on race, religion, color, creed, gender, gender identity or expression, physical challenge, age or national origin
Individual sponsorships related to fundraising activities or individuals
Endowments

Complete the Form Below

Name of Organization

First Name

Last Name

Best Phone Number

Email Address

Mailing Address

City

State

Zip Code

Were you referred by a Munson Healthcare Employee? List name.

Purpose for Request

Sponsorship Benefits (if not available in a PDF attachment)

Event Description

Name of Event or Sponsorship

Date and Time of Event

Event County

Deadline to Sponsor

Donation Amount Requested

Billing Information

Check Payable To

Attn: To

Mailing Address (if different from above)

How are the funds raised used?

Projected Attendance

Audience Description (Check all that apply)

General Population

Family Friendly

Business Leaders

Providers

Seniors

Please attach all relevant sponsorship package materials, W-9 (required) and any additional materials to learn more about your organization.

Sponsorship Package Materials

One file only.
256 MB limit.
Allowed types: gif jpg jpeg png bmp eps tif pict psd txt rtf html odf pdf doc docx ppt pptx xls xlsx xml avi mov mp3 mp4 ogg wav bz2 dmg gz jar rar sit svg tar zip.

W-9 Form

One file only.
256 MB limit.
Allowed types: gif jpg jpeg png bmp eps tif pict psd txt rtf html odf pdf doc docx ppt pptx xls xlsx xml avi mov mp3 mp4 ogg wav bz2 dmg gz jar rar sit svg tar zip.

Additional materials about your organization.

One file only.
256 MB limit.
Allowed types: gif jpg jpeg png bmp eps tif pict psd txt rtf html odf pdf doc docx ppt pptx xls xlsx xml avi mov mp3 mp4 ogg wav bz2 dmg gz jar rar sit svg tar zip.

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

Sponsorship Intake Form

Munson Healthcare Sponsorship Request Form

What Munson Healthcare Supports

What Munson Healthcare Does Not Support

Complete the Form Below