favorite Donation & Sponsorship Request

KSB Hospital welcomes the opportunity to help support the needs in our community that fit with our mission “to restore, maintain, and enhance the health of the community,” and to be good community partners in making our area a healthy, safe and enjoyable place to live.

Priority is given to activities that contribute to the three health needs in our community that KSB can best address, which are Diabetes, Obesity and Physical Inactivity, as well as Food Insecurity, as identified in our 2016 Community Health Needs Assessment.

Please fill out the below form with your donation/sponsorship request.

If you prefer to fill out a hard copy of our Sponsorship Request Form, please click here and send to:

Community Relations

KSB Hospital

403 E. First Street

Dixon, Illinois 61021

Contact Information

Organization/Event Information

Check all that apply
Ex: Advertising, tickets, meals, etc. If yes, please indicate along with its monetary value.
Please provide ad spec information including color or black & white, acceptable file formats, ad size in inches, and who to submit artwork to.



Questions? Please contact nvarga@ksbhospital.com or call 815-285-8989.

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