United Way:
Campaign Services Rally Speaker Request
Bringing in a speaker can help your co-workers understand the value of United Way in the community. Complete the form below and we'll help to incorporate this into your campaign.
CONTACT INFO
Company contact first name
Company contact last name
Company contact email address
Company contact phone
Company contact cell phone
Company name
EVENT DETAILS
Event date
Start time
Please select...
5:00am
5:30am
6:00am
6:30am
7:00am
7:30am
8:00am
8:30am
9:00am
9:30am
10:00am
10:30am
11:00am
11:30am
12:00pm
12:30pm
1:00pm
1:30pm
2:00pm
2:30pm
3:00pm
3:30pm
4:00pm
4:30pm
5:00pm
5:30pm
6:00pm
6:30pm
7:00pm
7:30pm
8:00pm
8:30pm
End time
Please select...
5:00am
5:30am
6:00am
6:30am
7:00am
7:30am
8:00am
8:30am
9:00am
9:30am
10:00am
10:30am
11:00am
11:30am
12:00pm
12:30pm
1:00pm
1:30pm
2:00pm
2:30pm
3:00pm
3:30pm
4:00pm
4:30pm
5:00pm
5:30pm
6:00pm
6:30pm
7:00pm
7:30pm
8:00pm
8:30pm
Expected attendance
Is your event virtual or in-person?
Virtual
In-person
Location name
80 characters left.
80 character max
Street address
City
State
Please select...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Puerto Rico
Virgin Island
Northern Mariana Islands
Guam
American Samoa
Palau
Zip code
Directions (location, parking, and building entrance information)
What platform are you using?
Invite link & password (if applicable)
How many speakers do you need for your event?
If you would like to request more than 3 speakers for one event please email campaignservices@stl.unitedway.org
Preferred speaker topic
Please select...
Basic Needs
Community Stability and Crisis Response
Early Childhood and Youth Success
Health and Wellbeing
Jobs and Financial Mobility
Union - UWGSL Labor Liaison
No preference
Alternative speaker topic
Please select...
Basic Needs
Community Stability and Crisis Response
Early Childhood and Youth Success
Health and Wellbeing
Jobs and Financial Mobility
Union - UWGSL Labor Liaison
No preference
Preferred topic for second speaker
Please select...
Basic Needs
Community Stability and Crisis Response
Early Childhood and Youth Success
Health and Wellbeing
Jobs and Financial Mobility
Union - UWGSL Labor Liaison
No preference
Alternative topic for second speaker
Please select...
Basic Needs
Community Stability and Crisis Response
Early Childhood and Youth Success
Health and Wellbeing
Jobs and Financial Mobility
Union - UWGSL Labor Liaison
No preference
Preferred topic for third speaker
Please select...
Basic Needs
Community Stability and Crisis Response
Early Childhood and Youth Success
Health and Wellbeing
Jobs and Financial Mobility
Union - UWGSL Labor Liaison
No preference
Alternative topic for third speaker
Please select...
Basic Needs
Community Stability and Crisis Response
Early Childhood and Youth Success
Health and Wellbeing
Jobs and Financial Mobility
Union - UWGSL Labor Liaison
No preference
Additional information/special requests
255 characters left.
Enter your United Way contact's email address:
Please click the "Submit" button below and review the information you are submitting. You must click the confirm button on the next screen to successfully submit this request. A confirmation email will be sent to you within 2 business days. If you have any questions, please contact the United Way Campaign Services' team at
CampaignServices@stl.unitedway.org
.
Contact Information
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