Partner Organization Contact Information

The purpose of this form is for United Way to gather updated contact information for your organization. This will allow us to get in contact with you for the FY 2025 partner eligibility application process and share ongoing partner updates and communications throughout the next campaign and partnership year. Thank you for taking the time to provide these updates to us. Please complete all required sections and provide us with at least 2 mobile phone numbers.

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* 1. Organization Name

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* 2. Primary Contact

First Name

Last Name

Job Title

Office Phone

Ext.

Mobile Phone

Email Address

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* 3. Secondary Contact

First Name

Last Name

Job Title

Office Phone

Ext.

Mobile Phone

Email Address

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* 4. CEO/Executive Director Contact

First Name

Last Name

Job Title

Office Phone

Ext.

Mobile Phone

Email Address

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* 5. Finance Contact

First Name

Last Name

Job Title

Office Phone

Ext.

Mobile Phone

Email Address

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* 6. Marketing Contact

First Name

Last Name

Job Title

Office Phone

Ext.

Mobile Phone

Email Address

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* 7. Fundraising Contact

First Name

Last Name

Job Title

Office Phone

Ext.

Mobile Phone

Email Address

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* 8. Volunteer Coordinator Contact

First Name

Last Name

Job Title

Office Phone

Ext.

Mobile Phone

Email Address

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* 9. Programs Contact

First Name

Last Name

Job Title

Office Phone

Ext.

Mobile Phone

Email Address

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* 10. Additional Agency Reporting Contact (ARC)

First Name

Last Name

Job Title

Office Phone

Ext.

Mobile Phone

Email Address