2026 LA SCCC - Charity Request Form
Instructions:
Please fill out ALL of the information below and submit at least 2 w
eeks prior to event date.
Campaign Coordinator Information:
Campaign Coordinator Name
*
Campaign Coordinator Phone #
*
Please enter a valid phone number.
Format: (000) 000-0000.
Agency Name
*
Campaign Coordinator E-mail Address
*
example@example.com
Charity Request:
I would like to request the following
*
Charity Speaker
Charity Fair (no more than 2 hours)
# of speakers needed
*
# of charitable organizations needed for charity fair
*
(50-150 employees or less - 5 charities; 150+ employees - no more than 10 charities)
Date of Event
*
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Arrival Time
*
Brief description of event
*
Location of Event (physical address)
*
Event Contact for Charity Presenter(s)
*
(in the case of an emergency this is the contact the charity should reach out to)
Event Contact Phone #
*
Format: (000) 000-0000.
Please provide helpful information for the Charity Presenter
*
Example: where to park, building number, department name and what they should bring (i.e. if they are allowed to bring a video (DVD) about their charity, materials and supplies needed for a charity fair, etc.)
Submit
Louisiana Association of United Ways proudly serves as the Principal Combined Fundraising Organization for the Louisiana State Combined Charitable Campaign. For help or assistance with this request, please e-mail sccc@launitedway.org or call (225) 295-6631.
Should be Empty: