CTMH | Doctors Hospital is dedicated to contributing to worthy health care related causes in the local community including areas such as education, youth, sports and the arts. In addition to the support provided by CTMH | Doctors Hospital and our affiliated companies, many of our employees and physicians donate their time and expertise to support local health related events, charitable causes and speaking engagements as they are available.

    To help us evaluate your sponsorship or participation request, please give us as much information as possible and fill the form in completely. Questions that are not relevant for your request can be marked N/A and additional information can be given in the additional comments section.

     
     
     
     
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    MonetaryPhysician at EventPhysician SpeakingNurse at EventNurse SpeakingStaff at EventStaff SpeakingOther
     

    Monetary Donations:

     
     

    Please answer the below questions completely:

     
    1. Has your organization received any donations or sponsorships in the way of time or money from CTMH | Doctors Hospital or its affiliated companies in the last three years? if so, what was the donation or sponsorship?

    2. If you are seeking monetary funding, how will the funds be used? Is this for a new initiative? Is this for a specific project or for core funding or something other?

    3. How is this donation, participation or sponsorship related to Health Care? What cause in Health Care does your organization target? For example: diabetes, heart diseases or skin cancer? If it does not target anything related to Health Care, please indicate with a N/A.

    4. What other source of funding or participation will your organization or event be seeking?

    5. What other entities are confirmed as participants or sponsors of your event or items of requests?

    6. What benefits are available to sponsors and participants (if any)? For example, program booklet ad space, banner ad space at event, table space at event, etc.

    Please submit requests for sponsorship or participation at least 30 days in advance. Thank you for reaching out to CTMH | Doctors Hospital and its affiliated companies.

    By checking this box, I confirm to the best of my abilities that the information contained in this application is accurate and complete.

     
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