ALICE® Council Membership Application

Organization Information

All organizations or businesses seeking to join the ALICE® Council through United Way of Pennsylvania must provide the following information and attachments. Please reach out to Kristen Rotz, krotz@uwp.org, or Amanda Barbarich, amanda@uwp.org, if you have any questions.

Question Title

* 1. Which membership level is your organization applying for?

$150/year - Individual local membership for local nonprofits and small businesses

$500/year - Statewide or regional nonprofit or for-profit organizations with annual budgets of $300,000 or less

$1,000/year - Statewide or regional nonprofit or for-profit organizations with annual budgets over $300,000

$2,500/year - Statewide or regional nonprofit or for-profit organization membership which includes providing access to the member benefits for all of their local members or chapters.

Question Title

* 2. Organization/Business Name

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* 3. Executive Director/CEO Information

Name *

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Email Address *

Phone Number *

Question Title

* 4. Does your organization have Public Policy/Advocacy staff?

Yes

ALICE® Council Membership Application

Organization Information

Question Title

* 1. Which membership level is your organization applying for?

Question Title

* 2. Organization/Business Name

Question Title

* 3. Executive Director/CEO Information

Question Title

* 4. Does your organization have Public Policy/Advocacy staff?

Question Title

* 5. Organization/Business's Website Address