Community Vitality Funding

For questions regarding this form, please contact Amy Sayles at amy.sayles@AllegianceHealth.org or at (517) 841-7491.

Personal Information

Details of Request


Please indicate the type of support you are requesting:

$


Please indicate whether any of the following opportunities are provided to sponsors:



Please indicate the primary audience(s) served (check all that apply):




Please indicate your desired deadline for a confirmed sponsorship or donation.

Information in the form of flyers and sponsorship levels is appreciated. If there is only one file, you can attach it here. Otherwise, you'll need to email it to Amy Sayles.

Is joint pain affecting your quality of life? Take this free online health risk assessment to find out. You’ll be able to estimate your personal joint pain and identify risk factors that you may be able to improve.