United Way is eager to learn about the work of your organization. This is not a funding application. It will be used to help United Way staff network your staff and programs with ours. The forms submitted here are reviewed quarterly; within a few months you can expect to hear from a United Way representative with suggestions for next steps.

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* 1. Agency Information

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* 2. If providing direct services, what are the cities or regions in which you have active programming?

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* 3. What is your agency's mission statement or list of core programs and target demographic? (You can be brief but specific about what you do and, if relevant, what markers of success you track).

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* 4. What are you most interested in achieving through United Way collaboration?

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* 5. Do you currently collaborate with United Way? If so, how?

Please click the "Done" button below to submit your request.

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