Community Vitality Funding

For questions regarding this form, please contact Julie Jank at Julie.Jank@allegiancehealth.org or (517) 205-7455.

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. After submitting the form, please email them to Julie Jank.

Confused by nutrition labels? Just look for foods that are lower in fat (especially trans fats and saturated fats), low in sodium and high in fiber.