Company Contact Information Company Name Name of Lead Employee Campaign Coordinator Campaign Coordinator Telephone Campaign Coordinator Email Important Dates What date would you like United Way to deliver your supplies? Delivery Address Workplace Campaign Start Date Workplace Campaign End Date United Way Speaker While we've always strongly encouraged every Workplace Campaign to host a United Way speaker and show the Campaign Video, we didn't fully realize how deeply connected those two factors were to campaign success... until we analyzed the data.. In 2018, when compared to those who did not host a speaker, companies that DID host a United Way speaker had... 50% higher campaign participation rates 27% higher employee giving! But our jaws REALLY dropped when we saw the data for companies that showed the United Way video, versus those who did not... 112% higher campaign participation rates 92% higher employee giving! We know every workplace is different. We will work with you to develop a United Way presentation schedule that's right for your company. Any size group Any number of presentations - for one of our partners, we give over 20 presentations for their different divisions! Multiple work sites? No problem! Any length of time (seriously... even if you only have one minute!) Any time of day or night - yes, we have presented at 2am! Please consider scheduling a United Way speaker and/or video presentation. We love public speaking! Even if you've hosted a speaker in prior years, remember that new employees may have joined your team. Plus, we always have new success stories to share. Will you use a United Way speaker this year? - Select -Yes No Campaign Essentials Total Number of Employees Paper Pledge Forms - Select -Yes, please send paper forms NO, our campaign does not use paper pledge forms. Pens - Select -Yes, please send pens. NO, do not send any pens. Brochures - Select -Yes, please send brochures NO, do not send any brochures Collection Envelopes Promotional Items Please indicate the quantity that you need. Campaign Video DVD Casual Day Stickers Goal Thermometer Poster Helium Balloon Bouquet Campaign Posters Yard Signs Additional Promotional Items - None -Yes, have my United Way staff member contact me about additional promotional items. My United Way staff contact is... Nancy Suchomski Becca Guyette Salvo Rodriquez Brad Diel Mary Noel Stefan Sue Grey Amy Huang Other/Not sure! Additional Comments Submit
