Jennings County United Way Campaign
Schedule your campaign and choices with this quick form.
Company
CEO
First Name
Last Name
CEO Email
example@example.com
CEO Phone Number
-
Area Code
Phone Number
Company's Internal Campaign Leader / Coordinator (CC)
First Name
Last Name
CC Email
example@example.com
CC Phone Number
-
Area Code
Phone Number
Campaign Timeframe
We will run as a Pacesetter Company (Run by Sept 30)
We will run our Campaign in October (Run by Oct 31)
Other
Campaign Start Date
-
Month
-
Day
Year
Date
Campaign End Date
-
Month
-
Day
Year
Date
We don't have campaign dates this year because
Dates arent set yet.
We will "roll over" last year's campaign
Our campaign is 100% Evergreen (Evergreen pledges continue until changed)
We are not conducting a campaign this year
Other
We want to be respectful of the policies you have in place regarding any COVID-19 Impact on your facility
No employee meetings /large gatherings
Restricted Access (explain in other)
shift to work from home / use of Virtual Technology
Other
What will your United Way Campaign look this year? (Mark all that apply - can be a combination of paper and virtual / electronic)
Yes
No
Questions or comments
Traditional Company lead Employee Campaign
Virtual Employee Campaign (even partial) (email, videos, Zoom, electronic pledge forms etc)
Electronic pledges -
pledge data can be downloaded as a spreadsheet for easy payroll entry; option for
materials & signage with scannable QR code to your own company branded landing page with electronic pledge card
Paper pledges - carbon copies
Request a speaker for employee meetings
Special Events / fundraiser
Other Ideas.. explain
Do you want your own custom company branded landing page on our United Way Website with electronic pledge card form?
yes
no
Upload your company logo for your Custom Landing page
Browse Files
Cancel
of
Number of employees
Total Number of Employees
Count for Paper brochures & pledge cards
What materials would you like?
Yes
Quantity or comments
Plastic Poster / Banner
Thermometer / Goal Poster
balloons
ink pens
Customized "business cards" to direct employees to your custom landing page (business card size)
Customized stickers to direct employees to
custom landing page
(standard address label size)
Customized stickers to direct employees to
custom landing page
(2x4 shipping label size)
Other.. explain
Are you interested in an incentive based campaign? (Nominal gifts, pens, t-shirts, etc.)
yes
no
For an Incentive based Campaign Structure - suggest your giving levels and estimate below nominal incentive ideas: (ink pens, tape measures, t-shirts, water bottles, etc If your company wishes to provide more, or larger, incentives, there are more possibilities: https://www.unitedwaystore.com/ )
Estimated # of Donors at this level
Annual Giving Level to qualify
Incentive choices
Level 1
Level 2
Level 3
Participation
Special Event Prizes
Other
What else do you want us to know? How can we help?
Submit
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