Survey - SJHF Community Partnership Survey - St. Joseph's Hospital Foundation

*1.

Question - Required - Name of Person/Group sponsoring fundraiser:

2.

Contact Information

*

Name:

First Required	Last Required

*

Email: Required

*

Street 1: Required

Street 2:

*

City/State/ZIP:

City Required	State Required	ZIP Required

*

Phone Number: Required

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*3.

Question - Required - What is the name of the event?

4.

Question - Not Required - Date(s) and time(s) of event:

*5.

Question - Required - Location of the event:

*6.

Question - Required - Please describe your event:

(Maximum response 255 chars, approx. 5 rows of text)

*7.

Question - Required - Is this a public event or invitation only?

8.

Question - Not Required - How will funds be raised? (ex: ticket sales, auction, etc)

*9.

Question - Required - Will event expenses be deducted from amounts raised?

10.

Question - Not Required - If yes, what is your budget?

*11.

Question - Required - Are you interested in having a check presentation as part of your event? Check presentations can be scheduled for at the event or after the event.

*12.

Question - Required - Which St. Joseph's Hospital will this event benefit?

*13.

Question - Required - Will St. Joseph's Hospitals be the sole beneficiary of funds?

14.

Question - Not Required - If no, please list percent of funds to St. Joseph's Hospitals

15.

Question - Not Required - If SJH receives less than 100% of funds, please list what other organizations receive funding?

(Maximum response 255 chars, approx. 5 rows of text)

16.

Question - Not Required - How will this event be promoted?

(Maximum response 255 chars, approx. 5 rows of text)

17.

Question - Not Required - Would you like St. Joseph's Hospitals Foundation to list the event on our website under partner events?

SJHF Community Partnership Survey

ST. JOSEPH’S HOSPITALS FOUNDATION

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