Workplace Campaign Participation Survey
Please complete the following so we can best assist you during the 2025-2026 Season
Workplace / Company Name
*
Will your company participate in the 2025-2026 United Way Campaign?
*
Yes
No
Please select all that apply:
*
We will run a paper workplace campaign
We will run an online workplace campaign
We will provide a corporate gift
We will host a Special Event Fundraiser for UWHCM.
We will participate in UWHCM Day of Action
We are not participating at this time
Will you serve as a Pacesetter Company?
Yes
No
Other
Company Contact Information
This is your company's primary contact for your internal United Way of HCM campaign.
Name
*
First Name
Last Name
Email
*
example@example.com
Primary Phone Number
*
Please enter a valid phone number.
Primary Phone Extension
This is for your direct extension, if applicable
Secondary Phone Number
Please enter a valid phone number.
Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Facility Information
This information is for internal use. It helps us determine annual campaign pace and performance, as well as the amount of UWHCM materials your campaign requires.
CEO / Owner / Supervisor Name
Number of Participating Facilities / Branches
Estimated Number of Employees
Payroll Deduction Start Date
-
Month
-
Day
Year
Estimated Start Date
Workplace Goal (USD)
How would you like for UWHCM to assist you? Select all that apply.
We would like a UWHCM staff member to help promote the cause to our team.
We are interested in company employees volunteering at UWHCM events.
We need help planning a special fundraising event benefiting UWHCM.
We would like virtual resources to distribute to employees.
We would like paper resources to distribute to employees.
Other
Do you have any additional information that you would like to share regarding this year's campaign? Any new ideas you would like to try? Any obstacles that your team may be concerned about this season?
Submit
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