Ambassadors to the Greater Manchester Region

Manchester Memorial Hospital Corporators

Manchester Memorial Hospital Corporators

Biography Form

Thank you for your interest in the Manchester Memorial Hospital Corporators. Our Corporators represent us throughout the Greater Manchester Region and beyond. In turn, they inform hospital leadership of the questions, concerns, and compliments of the many people we serve each year.

If you are interested in becoming a Corporator, please fill out the form below and a member of our Philanthropy Team will be in touch. If you have any questions, please contact Greg Latz, Int. Director of Philanthropy for the Greater Manchester Region, at Gregory.Latz@hhchealth.org.

Contact Information

Name
Permanent Residence Adddress
Please direct correspondence to my:

Family Contact Information

Spouse/Partner Name

Networking Information | Connection to Hartford HealthCare

Have you or a member of your family been a patient at Manchester Memorial Hospital or another Hartford HealthCare entity?
Have you or a member of your family been a volunteer at Manchester Memorial Hospital or another Hartford HealthCare entity?
Corporator Opportunities and Areas of Interest
You can select multiple choices
Are you attaching a resume or other document to this form?
If yes, please upload your file using the submission tool below. If you are not, but you still want to submit a file, please contact us at MMHPhilanthropy@hhchealth.org so we can assist you.

Document or Image Submission

Drop files here or
Max. file size: 2 MB.

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