United Way Allocations Volunteer Registration 2019
Thank you for your interest in volunteering for the United Way Allocations Process. Please answer the below questions. Staff will send out additional information in mid-February. If you have any questions, please contact Jodi Bloemker at 364-2381 or jodi.bloemker@stjosephunitedway.org. 
 
1.
Please enter the information indicated below.

By entering my personal information, I consent to receive email communications from the survey author's organization based on the information collected.

First Name:
Last Name:
Company Name:
Work Phone:
Home Phone:
Address 1:
Address 2:
City:
State/Province
(US/Canada):
Postal Code:
Cell Phone:
Personal Email Address:
Work Email Address:

2.

Are you interested in serving as an Allocations volunteer?

Yes
Unsure-Please contact me with more information
I am not able to volunteer in 2019 but would be interested in volunteering in 2020
  • Comment:

  • 500 characters left.
3.
There are subcommittees that meet during the day and subcommittees that meet in the evening, with meetings typically starting at 5:30pm. Which subcommittee would you like to serve on?

Daytime
Evening
Anytime (day or evening) works
Other  
  • Comment:

  • 500 characters left.
4.
Are you a board member of any United Way Partner Agencies or do you have a potential conflict of interest with a Partner Agency (for example, a spouse is employed by a Partner Agency)? If so, which agency(ies)?  Partner Agency board members and those who may have a potential conflict of interest are not excluded from the process, but will not be placed on the subcommittee that reviews their respective agency(ies).

Bartlett Center
Big Brothers Big Sisters
Catholic Charities
The Center
Children's Mercy Hospital
Community Missions
Family Guidance Center
InterServ
Legal Aid
Northwest Missouri Community Services
Pony Express Council, Boy Scouts of America
St. Joseph Safety and Health Council
The Salvation Army
Specialty Industries
UCP
YMCA
YWCA
No Conflicts
  • Comment:

  • 500 characters left.
5.
Is there a United Way Partner Agency you would like to learn about in particular? Staff will work to accommodate requests but due to conflicts and limitations based on when subcommittees meet (daytime or evening), this may not be possible. 

Bartlett Center
Big Brothers Big Sisters
Catholic Charities
The Center
Children's Mercy Hospital
Community Missions
Family Guidance Center
InterServ
Legal Aid
Northwest Missouri Community Services
Pony Express Council, Boy Scouts of America
St. Joseph Safety and Health Council
The Salvation Army
Specialty Industries
UCP
YMCA
YWCA
NA
  • Comment:

  • 500 characters left.
6.
Is there a United Way Partner Agency that you would prefer not to review? For example, you have reviewed a particular agency for the past three years and would like to see a different agency. Staff will work to accommodate requests but due to conflicts and limitations based on when committees meet (daytime or evening), this may not be possible. 

Bartlett Center
Big Brothers Big Sisters
Catholic Charities
The Center
Children's Mercy Hospital
Community Missions
Family Guidance Center
InterServ
Legal Aid
Northwest Missouri Community Services
Pony Express Council, Boy Scouts of America
St. Joseph Safety and Health Council
The Salvation Army
Specialty Industries
UCP
YMCA
YWCA
NA
  • Comment:

  • 500 characters left.
7.
Do you know of someone else who would be interested in volunteering?  If so, please list their name and contact information and we will contact them about volunteering. 
 

350 characters left.
Thank you for your time and service to United Way, United Way Partner Agencies and the community.