Partnership Interest Form | NuVasive Spine Foundation

NSF is not a granting organization – Instead, NSF focuses on building partnerships to lead and support mission trips. NSF is solely focused on facilitating mission trips and does not engage in event sponsorships or related charitable donations. As a nonprofit, NSF funds it mission trips through fundraising and utilizes donated product (instruments and implants) and services (neuromonitoring) from NuVasive Inc.

Medical Missions Partnerships

Your Name*
Email*
Phone*
Phone format: (###)###-####
Country of Residence*
Are you connected with a nonprofit?*
If yes, please upload the IRS Tax Determination Letter
Max. file size: 100 MB.
Medical Mission Location (country, city)*
Mission Start Date*
Month
Day
Year
Mission End Date*
Month
Day
Year
Surgeon Name(s)*
Mission Hospital Name*
Mission Hospital Address*
Local Hospital or Surgeon Partner Contact:*
Support Needed:*
- Spinal Hardware (Instruments + Implants)
- Neuromonitoring
- Funding (Travel, Customs & Shipping, Patient Care)
- Trip Operations and Administrative Support
- Volunteer Recruitment
Please select all that apply.
If you are requesting spinal hardware, please upload a list of items
Max. file size: 100 MB.
If requesting funding, how much? USD Amount
If requesting funding, please upload a budget and/or use of funds breakdown
Max. file size: 100 MB.
Please summarize the objective of your medical mission*
Who will make up your medical mission team? Please list name, role and email*
Have you traveled to this site previously? If yes, how many times?*
Is this a recurring trip? If yes, do you have other dates set?*
How many surgeries are you planning?*
Please give your best estimate
What type of surgeries are you planning?*
Please give your best estimate
Will you provide training to local medical professionals during your trip?*
Are you requesting support from other organizations?*
If yes, please explain
Anything else we should know?