Interest Form for Human Services Organizations

If your organization provides programs and services to residents of the VA Peninsula, and you would like to send and receive referrals through the Community Assistance Network, please complete this form. 

Upon receipt, you will be contacted by a United Way representative to clarify and confirm the information provided as well as ensure we fully understand the best way we can provide advocacy and referrals to your organization.

**All organizations requesting formalized partnerships to receive Virginia Eviction Reduction Pilot Funding, must also review the recorded webinar posted on our website, www.uwvp.org/UnitedweCAN

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