Ms. Jo's Stars
Ms. Jo's Stars Donation Form
Has an employee made a loved one feel special?
Has an employee gone out of their way to help you?
Here is where you can recognize this person for their service!
Selection
I would like to:
Recognize an employee with a donation
Make a donation in honor of a resident
Recognizing Employees
Recognized employees will be honored at their campus at their next employee gathering.
My Information
Your First Name:
Your Last Name:
What is your connection to the campus?
Please select...
Friend of Resident
Physician/Vendor
Family Member
Resident
Volunteer
Please select your campus or the campus of your loved one
Please select...
IN-Anderson-Bethany Pointe Health Campus-112
IN-Avon-Wellbrooke of Avon-166
IN-Batesville-St. Andrews Health Campus-120
IN-Bedford-StoneBridge Health Campus-115
IN-Bloomington-HearthStone Health Campus-149
IN-Bloomington-Stonecroft Health Campus-164
IN-Boonville-Woodmont Health Campus-110
IN-Carmel-Wellbrooke of Carmel-165
IN-Columbus-Silver Oaks Health Campus-107
IN-Corydon-Harrison Springs Health Campus-180
IN-Crawfordsville-Wellbrooke of Crawfordsville-167
IN-Delphi-St. Elizabeth Healthcare-134
IN-Elkhart-Greenleaf Health Campus-132
IN-Evansville-North River Health Campus-186
IN-Evansville-River Pointe Health Campus-111
IN-Evansville-West River Health Campus-142
IN-Ferdinand-Scenic Hills Care Center-303
IN-Goshen-The Maples at Waterford Crossing-124
IN-Goshen-The Residence at Waterford Crossing-184
IN-Greencastle-Mill Pond Health Campus-119
IN-Greenfield-Springhurst Health Campus-125
IN-Greensburg-Aspen Place Health Campus-150
IN-Hanover-Thornton Terrace Health Campus-116
IN-Indianapolis-Arlington Place Health Campus-160
IN-Indianapolis-Clearvista Lake Health Campus-161
IN-Jasper-St. Charles Health Campus-108
IN-Kendallville-Orchard Pointe Health Campus-185
IN-Kokomo-Waterford Place Health Campus-106
IN-Kokomo-Wellbrooke of Kokomo-168
IN-Lafayette-Creasy Springs Health Campus-133
IN-Lafayette-St. Mary Healthcare-136
IN-Lafayette-The Springs at Lafayette-162
IN-Lawrenceburg-RidgeWood Health Campus-143
IN-Lebanon-Homewood Health Campus-104
IN-Logansport-WoodBridge Health Campus-130
IN-Lowell-Cedar Creek Health Campus-156
IN-Madison-River Terrace Health Campus-157
IN-Monticello-White Oak Health Campus-140
IN-Mooresville-The Springs of Mooresville-174
IN-Muncie-Morrison Woods Health Campus-128
IN-New Albany-Autumn Woods Health Campus-105
IN-New Albany-The Villages at Historic Silvercrest-151
IN-New Castle-Glen Oaks Health Campus-153
IN-New Castle-Senior Living at Forest Ridge-152
IN-Noblesville-Prairie Lakes Health Campus-141
IN-Peru-Blair Ridge Health Campus-144
IN-Petersburg-Amber Manor Care Center-304
IN-Princeton-RiverOaks Health Campus-117
IN-Richmond-Forest Park Health Campus-123
IN-Richmond-The Springs Of Richmond-173
IN-Scottsburg-Hampton Oaks Health Campus-121
IN-Seymour-Covered Bridge Health Campus-109
IN-Shelbyville-Ashford Place Health Campus-118
IN-South Bend-Wellbrooke of South Bend-169
IN-Spencer-Owen Valley Health Campus-101
IN-Tell City-Oakwood Health Campus-103
IN-Terre Haute-Cobblestone Crossings-129
IN-Terre Haute-Harrison's Crossing Health Campus-163
IN-Valparaiso-Avalon Springs-139
IN-Vincennes-BridgePointe Health Campus-131
IN-Wabash-Wellbrooke of Wabash-170
IN-Warsaw-Paddock Springs-302
IN-Washington-The Villages at Oak Ridge-305
IN-West Lafayette-Cumberland Pointe Health Campus-135
IN-Westfield-Wellbrooke of Westfield-171
KY-Cynthiana-Cedar Ridge Health Campus-114
KY-Harrodsburg-The Willows at Harrodsburg-187
KY-Lexington-The Willows at Citation-148
KY-Lexington-The Willows at Fritz Farm-147
KY-Lexington-The Willows at Hamburg-146
KY-Louisville-Cornell Trace (Springhurst Pines)-223
KY-Louisville-Forest Springs Health Campus-154
KY-Louisville-Franciscan Health Care Center-137
KY-Louisville-Glen Ridge Health Campus-126
KY-Louisville-Paragon Home Office-1100
KY-Louisville-Park Terrace Health Campus-127
KY-Louisville-Parr's Rest (Springhurst Pines)-224
KY-Louisville-PCA Home Office-830
KY-Louisville-The Legacy at English Station-210
KY-Louisville-The Springs of Stony Brook-175
KY-Louisville-Trilogy Home Office-900
KY-Louisville-Westport Place Health Campus-145
KY-Lousiville-Springhurst Pines-610
MI-Battle Creek-The Oaks at NorthPointe Woods-501
MI-Commerce-Westlake Health Campus-503
MI-East Lansing-The Willows at East Lansing-507
MI-Grand Blanc-The Oaks at Woodfield-505
MI-Grand Rapids-The Oaks at Cascade-518
MI-Howell-The Willows at Howell-509
MI-Jackson-RidgeCrest Health Campus-502
MI-Lapeer-Stonegate Health Campus-506
MI-Macomb-Shelby Crossing Health Campus-508
MI-Novi-The Lakes of Novi Health Campus-510
MI-Okemos-The Willows at Okemos-504
MI-Romeo-Orchard Grove Health Campus-512
OH-Bellevue-The Willows at Bellevue-414
OH-Cincinnati-The Glen-434
OH-Colerain-Triple Creek Retirement Community-412
OH-Delphos-The Meadows of Delphos-407
OH-Englewood-Cypress Pointe Health Campus-416
OH-Findlay-The Heritage-408
OH-Fremont-Valley View Healthcare Center-403
OH-Genoa-Genoa Retirement Village-411
OH-Greenville-Village Green Healthcare Center-423
OH-Kalida-The Meadows of Kalida-406
OH-Leipsic-The Meadows of Leipsic-409
OH-Lima-Springview Manor-410
OH-Lima-The Springs of Lima-433
OH-McConnelsville-Highland Oaks Health Center-418
OH-Monclova-The Lakes of Monclova-422
OH-N. Baltimore-Briar Hill Health Campus-415
OH-Ottawa-The Meadows of Ottawa-430
OH-Springfield-Forest Glen Health Campus-401
OH-Springfield-Wooded Glen Health Campus-429
OH-Sylvania-The Lakes of Sylvania Health Campus-427
OH-West Chester-The Legacy at Liberty Ridge-211
OH-Willard-The Willows at Willard-424
OH-Zanesville-The Oaks at Bethesda-425
OH-Zanesville-The Oaks at Northpointe-419
Your Email
Your Phone
Mailing Address Line 1
Mailing Address Line 2
City
State
Please select...
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip Code
Recognized Employee
Employee Name:
Comments
I would like to make a donation in honor or memory of this employee.
Yes
No
Trilogy Foundation Donation
Each of our campuses are supported by the Trilogy Foundation, a 501c3 non-profit organization dedicated to serving our Employees, Residents, and Communities.
All Gifts to the Trilogy Foundation will be used to support:
Our employee Emergency Assistance program, designed to benefit employees in times of personal and family crisis.
The Education Assistance program, which has awarded more than $7 million to help with our employee's educational endeavors.
Special projects, outlined by our campus administration, to continue to enhance the resident experience.
Donation in Honor of a Resident
In Honor/Memory of:
Is the acknowledgment address different than your address?
No
Yes
Acknowledgement Address
Name
Mailing Address Line 1
Mailing Address Line 2
State
Please select...
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
City
Zip Code
How would you like to make your donation?
Please select...
By Check (given to campus)
By Check (through mail)
By Stripe
By Check
Please send checks to:
Trilogy Foundation
303 N. Hurstbourne Parkway
Suite 200
Louisville, KY 40222
You may give this check to the business office of your local Trilogy campus.
Please make checks payable to:
Trilogy Foundation
My gift to the Trilogy Foundation through the Grateful Families Program is:
$1000
$500
$250
$100
$50
Other
Other Amount
My gift to the Trilogy Foundation through the Grateful Families Program is:
$1000
$500
$250
$100
$50
Other
Other Amount
Trilogy Foundation Donation
Each of our campuses are supported by the Trilogy Foundation, a 501c3 non-profit organization dedicated to serving our Employees, Residents, and Communities.
All Gifts to the Trilogy Foundation will be used to support:
Our employee Emergency Assistance program, designed to benefit employees in times of personal and family crisis.
The Education Assistance program, which has awarded more than $7 million to help with our employee's educational endeavors.
Special projects, outlined by our campus administration, to continue to enhance the resident experience.
How would you like to make your donation?
Please select...
By Check (given to campus)
By Check (through mail)
By Credit/Debit Card
By Check
Please send checks to:
Trilogy Foundation
303 N. Hurstbourne Parkway
Suite 200
Louisville, KY 40222
You may give this check to the business office of your local Trilogy campus.
Please make checks payable to:
Trilogy Foundation
My gift to the Trilogy Foundation through the Grateful Families Program is:
$1000
$500
$250
$100
$50
Other
Other Amount
Debit/Credit Card Donation
Once the form is submitted, your Debit/Credit card will charged immediately. Payment is securely processed through Stripe (https://stripe.com/docs/security).
Dollar Amount
Name on Card (First and Last)
Card Number
MM
YY
Code
Email for Card Payment Receipt
Contact Information