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Community Initiatives
Application Form for Funding Requests
Name of cause/service/program:
Date prepared:
Please indicate which of Hendrick Health System's Community Initiatives your cause/service/program supports:
Health/Human Services
Youth/children
Education
Economic Development
Art/Culture
   
List the ways your cause/service/program supports the Hendrick mission to serve the community.
The mission of Hendrick Health System is to be a community and
regional health system by promoting the mental, spiritual and
physical health of area residents in the Christian context,
and by conducting allied community health education programs.
   
Name of representative:
Organization:
E-Mail Address:
Mailing address:
City, State, Zip:
Day Phone:
Evening Phone:
Fax number:
 

List specific sponsorship services you are requesting (cash amount, items, etc.)
 
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Hendrick Health System
1900 Pine St. • Abilene, Texas 79601 • 325.670.2000