Forms

Sponsorship Application

Thank you for your interest in Inland Hospital! It is our privilege to support local efforts that align with Inland’s mission, “to improve the health of the people and communities we serve." Please return your completed application to: inlandcr@northernlight.org, or by fax: 861-3387 or mail to: Community Relations Department, 200 Kennedy Memorial Drive, Waterville, ME 04901. Please allow at least four weeks for us to reply to your request. If you have questions please call 861-3293 or email inlandcr@northernlight.org. Thank you.

Name of requesting organization/business:

Name/Title of contact person:

Address of organization/business:

Phone of contact person:

Email of contact person:

Activity/Project name & description:

Date & time of activity/project:

Location of activity/project:

Target audience (age, gender):

Number of people expected:

What is your request - Sponsorship or Community Outreach Request? Include dollar amount options if Sponsorship.:

What is the goal of your activity/project, and how will it contribute to overall improvement in health or quality of life in our community? (100 words max):

List other community partners involved in this activity/project:

How will your event/activity be promoted, and how would Inland be identified as a sponsor or participant?:

Other information you feel important for us to know:

Northern Light Inland Hospital

Northern Light Inland Hospital

Forms

Forms

Sponsorship Application