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MetroHealth - Community and Corporate Fundraising Application
We are truly grateful to everyone who supports MetroHealth through Community Fundraising events. All events, large or small, play a significant role in raising awareness and much-needed support for MetroHealth and our community. You can hold a Community Fundraising event at school or work, in your neighborhood, or community.
First Name
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Last Name
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Email Address
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Primary Phone Number
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Organization / Community Group Name (if no organization or community group, please list individual/self)
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List Organization Website or Social Media Accounts
Street Address
*
Address Line 2
City
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State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
*
Are you a 501(c)(3) organization (a non-profit as defined by the IRS)?
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Yes
No
Fundraiser Type
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In memory of a loved one
To celebrate a milestone (birthday, wedding, etc.)
A school event
A company event
No special occasion, I just want to help MetroHealth
Other
What is your connection to MetroHealth?
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Current patient
Past patient
Relative/friend of patient
Current employee
Former employee
Other
What areas interest you most at MetroHealth?
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Please list any MetroHealth staff members with whom you are already working on this event
*
Event Details
If you have already begun planning your event, please share the details.
Has this event been held before?
*
Yes, proceeds went to MetroHealth
Yes, proceeds went to another organization
No, this is our first time holding this event
Date of event (estimated if not confirmed)
*
+
Event name
*
Event Description
*
Event location (city and venue)
*
Estimated number of attendees
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View the MetroHealth Community Fundraising Event Guidelines
*
I have read and agree to the MetroHealth Community Fundraising Event Guidelines