Community Event Participation Request

Contact Information

For more information about Community Health Improvement, please call 443-777-7482

Thank you for considering MedStar Franklin Square Medical Center as your community partner. We truly value the work of community-based organizations to build healthier communities. As part of our mission, MedStar Franklin Square  supports a wide range of professional and not-for-profit organizations in their efforts to provide health education and health promotion. The following describes our participation guidelines and approval process:

Community Participation Guidelines

Preference will be given to those requests that provide health improvement outcomes.

Consideration for participation will be dependent on the following:

  • Support of health and wellness to benefit the underserved and underinsured
  • Alignment with our mission, vision, and strategic priorities (link with CHNA)
  • Support of our target communities in southeast Baltimore County

Approval Process

  • All organizations must complete the online request form below
  • Multiple requests may be submitted one at a time via the request form
  • Requests must be submitted at least three (3) months in advance of the event
  • Please note, this application is not for grant or advertising requests

Please be advised that we are unable to fulfill every request, even if the organization meets the above criteria.

Please complete the following request form:

Community Event Participation Request

  • Date Format: MM slash DD slash YYYY
  • Please describe the mission of your organization
  • Please provide a historical overview of your organization
  • Please describe the type of support you are requesting
  • Please provide a brief description of the event
  • Please describe how this event will benefit the health of the community
  • Date Format: MM slash DD slash YYYY
  • :
  • :
  • :
  • Please describe the parking availability at the event
  • Please enter a number greater than or equal to 1.
  • Please describe how you will measure the health outcomes of the event participants (pre and post data, changes in health knowledge or behavior, health screening, other)
  • Please provide the names of all MedStar facilities or associates you have contacted
  • Attach additional documents or information which may be helpful in our evaluation process
  • I have reviewed the guidelines and feel my request is aligned with MedStar Franklin Square community event participation criteria