Community Event Proposal Form

Name
Title
Contact
Please share the amount you hope to raise after expenses. Sharing your fundraising goal will will help us advise you about the resources required and how we can work with you to reach your goals. This is a goal, not an obligation.
Tell us about how your event and how you plan to raise funds.
This personal information is being collected under the authority of the Public Hospitals Act R.S.O. 1990, CHAPTER P.40 for the purpose of contacting the sender in response to an inquiry. If you have questions about the collection of this information, please contact Privacy and Freedom of Information, St. Joseph's Health Care London, 268 Grosvenor Street, London, ON,519-646-6100 ext. 65591.