Do you agree to place this memorial in a highly trafficked area?

Yes

No

Grant request amount (up to $8,000)

Hospitals are encouraged to match funds, either directly or through other contributions. Describe the plan for matching funds, including what they will be used for.

Hospitals must be willing to have an annual ceremony to honor donors. Can you describe when and how you will do this?

Describe where you are in the design process.

Just starting

Seeking artist

A concept has been defined and we can provide a plan on request

How will donors be recognized in the memorial? If donors will be named, how will additional names be added as time goes by?

Please provide a summary describing how a donor memorial will benefit your hospital and your community.