Corporate & Community Giving Philanthropy Event Application

Submit this third-party event proposal to UK HealthCare Philanthropy at least two months in advance of your tentative date. If your event is scheduled to take place in the next two months, we still require you to submit a proposal form. 

UK HealthCare Philanthropy reserves the right to request additional information before approving any event or activity.

Contact information

Any existing relationship with UK HealthCare or College of Medicine?
Contact name:
Name and contact information of person making the request

Event information

Has this event taken place before?
This event is: (check one box):
Proposed event promotion and publicity (click boxes):

Financial information and use of funds

Please indicate the UK HealthCare or UK College of Medicine unit you wish to receive the proceeds from your event:
Is this fundraiser part of the Kentucky Children’s Hospital Children’s Miracle Network program:
I have read the UK HealthCare and UK College of Medicine’s event guidelines and application in full; I/we agree to adhere to those guidelines in planning and executing our event/activity. I/we understand that the guidelines are not comprehensive and that all decisions for the event/activity, including safety precautions, remain the responsibility of the event/activity sponsor. UK HealthCare and UK College of Medicine and all other respective affiliates do not accept or assume liability associated with the event.