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Community & Wellness » Community Donations & Sponsorships

Community Donations & Sponsorships

Community Donations & Sponsorships

Community Guidelines and Application

Fort Madison Community Hospital is a not-for-profit organization committed to meeting the health needs of the communities we serve.  Each year, we receive many requests for donations, sponsorships, tours and representation at community events.  Fort Madison Community Hospital enjoys supporting events and projects that align with our mission, vision and values. However, our financial and employee resources are limited.  
Organizations seeking donations, sponsorships, tours and event representations must submit requests using the form below.  We review requests twice per month.  
Preference will be given to:

Consideration will be given to requests that meet these criteria:

Donations and sponsorship exclusions:
Fort Madison Community Hospital reserves the right to deny any request.  Financial support for health or community related requests is not guaranteed.  Past support or participation does not guarantee future support or participation.  
 
Mission Statement: Fort Madison Community Hospital’s mission is to advance the health and well-being of all people through compassionate quality care, education and community service.
Vision Statement: To be the Southeast Iowa healthcare provider most admired for its people, partnership with the community and quality of service. 
 

Please fill out the application below

Required fields are marked with a

Contact Person:
Name of Organization:
Phone Number:
Email Address:
Mailing Address:

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What is your request:
Financial Support
In-Kind Supplies
Tour of FMCH
Education/Presentation
Health Fair or Display
Other In-Kind
Other
If other, please explain:

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Event Name:
Event Date:
Event Location:
Event Time:
Briefly Description of Event:

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Expected number of participants:
What is the purpose/goal of the event or request:

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Who will be participating (target audience):

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Upload any supporting materials, i.e. fliers, forms, informational sheet.
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