General Information
Location of Medical Facility
Please select...
United States
Canada
China
Israel
Medical Facility Name (as listed on your website)
Department/Unit/Clinic
Street Address to receive donations (i.e. 100 Sunshine Lane, Room 604)
Any additional directions (i.e. attention child life, room 402)
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
We want to be mindful of your medical facility and departmental restrictions so please indicate if there are any specific restrictions we should be aware of. Please note that all of our donation/activities are latex free.
Primary Contact Person
Primary Contact: First Name
Primary Contact: Last Name
Primary Contact: Title
Best Phone Number to Contact you
Phone type
Please select...
Office
Mobile
Primary Contact: Email
Have you worked with Project Sunshine prior to working at your current medical facility?
Yes
No
Alternate Contact Person
Alternate Contact: First Name
Alternate Contact: Last Name
Alternate Contact:Title
Alternate Contact: Email
Best Phone Number to Contact you
Phone type
Please select...
Office
Mobile
Patient Demographic Information
Number of children receiving care on your unit/clinic
Which of the following conditions affect a significant percentage of patients in YOUR unit/clinic? Select all that apply.
Mental/behavioral health
Cancer
Cardiac
Limited mobility
Respiratory
Sensory Issues
Other (list below)
Other conditions
The majority of our written materials are in English and Spanish. For future reference, which additional languages would be most helpful for your patients?
What percentage of the pediatric patient population in your unit/clinic would you consider to be underserved and/or have limited access to resources?
0-25%
25-50%
50-75%
75-100%
Sending Sunshine Items
Please note that the below requests are subject to the availability of Project Sunshine materials based on the number of hospital partners at any given time. We will try to accommodate your program and shipping requests. Each shipment contains 100 kits of the same type.
For more information about these kits, you can view them in more detail
here
.
Please check off any of the Sending Sunshine items you are interested in receiving.
Puppet
Crown
Superhero
Basketball
STEM
Caregiver
Building
Scrapbook
Sensory
Mandala (Mental/Behavioral Health)
Surgi Dolls
Project Sunshine recognizes the storage challenges our medical partners face so please indicate the number of items you would like to receive in each shipment. The exact number may vary depending on availability.
Please select...
Up to 50
Up to 100
Up to 200
Up to 300
Up to 400
Up to 500
n/a (I do not wish to receive Sending Sunshine items)
Would you accept Surgi Dolls that are asymmetrical, or sewn by less experienced volunteers?
Yes
No
If yes, is there a limit to how many you can accept?
Project Sunshine In-Person Volunteer Programming
Please check any in-person volunteer programs that interest you when hospital infection control permits.
Please keep in mind the below programs are subject to availability of volunteer groups in your area.
Arts and Crafts
Caregiver Wellness
Party Time
I do not wish to receive in-person volunteer programming
For more information about our in-person volunteer programs, you can view them in more detail
here
.
Project Sunshine also partners with corporations to support special events. Would your facility be interested in volunteers/support for special events?
Yes
No
Maybe
How many volunteers can you accommodate for a special event?
Project Sunshine TelePlay Program
Project Sunshine's TelePlay program is a live, virtual play experience, using a HIPAA compliant technology platform that mirrors our in-hospital volunteer-based programming by providing developmentally appropriate, engaging activities and games.
.
Please check which model of TelePlay your hospital would like to participate in:
Chapter TelePlay:
TelePlay co-led by the Hospital Partner and Project Sunshine's highly trained and vetted volunteers.
National TelePlay:
TelePlay led by Project Sunshine's highly trained and vetted volunteers, including skilled volunteers like artists and musicians, and is open for any child/family facing medial challenges either in or out of the hospital.
We do not wish to participate in Project Sunshine Teleplay
Do your patients have access to technology devices either personal or hospital provided?
Personal
Hospital Provided
Which of the following devices do they have access to?
Smart Phone
Tablet
Laptop
Marketing and Social Media Consent
Does your facility allow third-party consented photos to be taken at a program?
Yes
No
Unsure
If known, please provide the best contact at the medical facility for questions related to volunteer management processes (Name, Title, Department, Email, and Phone Number).
If known, please provide the best contact at the medical facility for questions related to marketing, communications and/or social media consent (Name, Title, Department, Email, and Phone Number).
If known, please provide the best contact at the medical facility for questions related to development and/or external relations (Name, Title, Department, Email, and Phone Number).
Additional Comments
Please include any comments or questions you have for Project Sunshine.
Contact Information