Community Partnership Form

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Community Partnerships Form

Thank you for expressing interest in organizing a fundraising event for Novant Health Foundations. Please submit this application to the best of your ability at least four weeks prior of the intended event date or fundraiser. Novant Health Foundations reserves the right to withdraw support of the third-party event should the organizer deviate from the approved submission.

Contact Information

First Name

Last Name

Address

Phone

Company/Organization

Contact's Relation to Company/Organization

Event Information

Event Name

Event Date

Event Time

Event Location

Description of Event

Expected Attendance

What are the estimated proceeds to benefit Novant Health Foundation?

How will the donations for proceeds be collected?

Are there other charities involved? If so, please describe their involvement.

How will Novant Health Foundation receive the proceeds from the event? (Check all that apply.)

Expected date for the transfer of funds

Fund Designation

Event Support

Which Novant Health Foundation are you fundraising for?

If available, would you like literature to distribute about Novant Health Foundation and/or services at Novant Health?

YesNo

How many copies?

If possible, would you like to have an Novant Health Foundation representative at your event?

YesNo

What role would the representative play?

Please provide a time frame of when the representative would be needed.

Event Promotion

Describe your plans to publicize or market your event.

Do you wish to use the name and/or Novant Health Foundation logo in your promotional materials?

YesNo

Additional Information

How did you hear about Novant Health Foundation?

Please describe what motivated you and your group to organize and conduct this event.

How will you fund your event?

Guidelines for Fundraising Acknowledgement

I have read and agree to comply with the Guidelines for Fundraising established by Novant Health Foundation.

Reach out to fdndataresearch@novanthealth.org with questions regarding your fundraising event.

$10,684,263

Presbyterian Medical Center Foundation
$223,357

Brunswick Medical Center Foundation
$376,867

Thomasville Medical Center Foundation
$3,113,153

Forsyth Medical Center Foundation
$2,610,643

Rowan Medical Center Foundation
$2,223,588

New Hanover Regional Medical Center Foundation
$6,737,196

Grants
$1,053,827

System Initiatives
$27,022,894

Total Giving
* 2023 Data

Community Partnership Form

Community Partnerships Form

Contact Information

Event Information

Event Support

Event Promotion

Additional Information

Funding Highlights