CAMPAIGN LOGO OR IMAGE

Contact information


255 character limit
0 / 255
255 character limit
0 / 255

CARES Documentation Requirements:

*Please use the checkbox below as a guide to ensure you are bringing all of the required documents. In order to receive assistance you will need to provide the following at time of appointment:

One of the Following:

Upon form submission United Way will review your application and contact you to set up an appointment.

I agree that by submitting, I am electronically signing this application

Processing...
GiveSmart Fundraise
PCI Compliance Certification 2022
Terms and Conditions
Privacy Policy