Mon Health System Community Support Form

Thank you for reaching out to Mon Health System! If interested in our support for your upcoming event or sponsorship in the local community, please complete the following form and we will be in contact.

This form must be completed in its entirety at least 60 days prior to the event or sponsorship start date. If the form is not completed in its entirety, we will be unable to review the request.

Questions? Contact Krystian.Leonard@VandaliaHealth.org

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GENERAL INFORMATION

Organization/Business Name

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Name of Sponsorship/Event Opportunity 

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Sponsorship/Event Date 

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Brief Description 

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Mon Health’s Mission is to enhance the health and wellness of our communities, one person at a time. Please provide a brief description as to how your request aligns with and helps further our mission.

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