Community Fundraising Events Information Form

Tell us about you and your organization:
Date of Application

MonthDayYear
Date
Applications must be submitted at least 60 days prior to the event date or project start date.
Contact Name*

First NameLast Name
Primary Email*
example@example.com
Primary Phone

Area CodePhone Number
Mailing Address

Street Address

Street Address Line 2

CityState

Zip Code
Is this event hosted by:

Sponsoring Club/OrganizationCompanyIndividual planning the event
Club/Organization or Company Name
Organization or Company website:

Tell us how money will be raised for the Baptist Health Foundation:
Name of philanthropic idea, event, or program*
Describe the Event/Program *
Date of event *

MonthDayYear
Date
Event Start Time
Event End Time
Event Location
Anticipated number of guest
Would you like to request a representative from the Baptist Health Foundation at your event?

YesNo
What would the representative from the Baptist Health Foundation do at the event?
Total Anticipated Revenue (Gross)
Total Anticipated Expenses
Anticipated Net Revenue to Baptist Health Foundation
Please upload your list of individuals, businesses, or corporations you plan to solicit.

Browse Files

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Tell us about you and your organization: