SUPPORT OUR MISSION
MOLA is an ideal vehicle to act on your interest to support health equity for a under-served community in your own city, and a perfect channel for your corporate diversity and inclusion goals. As a 501 C-3 non-for-profit corporation, your contributions are eligible for all benefits provided by US tax system. In addition, MOLA is a 100% volunteer-based organization where your donations go directly to programs.
Please complete the application below.
CONTACT INFORMATION
Sponsor/Donor
Title
Phone
ZIP Code
Address
Email
City
State
Additional Comments
HOW WILL YOU SUPPORT US? (PLEASE SELECT ONE)
SPONSORSHIP LEVEL
Choose the
sponsorship level
EQUIDAD – $35,000
BIENESTAR – 20,000
AVANCE – $10,000
SALUD – $5,000
DONATION
Add your donation amount
I want to designate my gitf to:
MOLA (General Donation)
Scholarships
DACA Program
Education & Research Program
Mentorship Program
Public Health Program
Advocacy Program
Wellness Program
I want my name to appear in recognition materials as "Name of Donor"
SPONSORSHIP INTEREST
Please contact me to learn more about other financial support options.