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EMHS Community Benefit - Application for Sponsorship


OrganizationType:


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Has your organization received funding from EMHS in the past?:


Have you requested funding from an EMHS member organization as well?:

Based on the community health needs assessment for your area, please identify the area of need your project will address. Check all that are applicable.:








* Above signature indicates all information submitted is accurate and valid and serves as your official signature.: