This form is intended to help United Way learn more about your organization. It is not a funding application. This form is to be used by non-profit organizations who want to pursue potential opportunities to partner with United Way. Submitted forms are reviewed periodically. You can expect to hear from a United Way staff person with suggestions for next steps.

Question Title

* 1. Agency Information

Question Title

* 2. What is your mission statement?

Question Title

* 3. Who do you serve? Please describe specific target communities, regions and/or populations.

Question Title

* 4. What are your organization's outcomes (or indicators of success)?

Question Title

* 5. In terms of collaborating with United Way, what is your organization most interested in? 

Question Title

* 6. Has your organization worked with United Way in the past? If you have received grant support, please share that here. 

Question Title

* 7. Is there a specific United Way project or initiative that you want to learn more about?

T