Please fill out the request form at least 10 business days prior to your campaign kick-off date to allow for set-up and testing. You will receive a follow up from staff at United Way to coordinate messages for your emails. 1 Start 2 Complete Who is filling out this form? * Email for Person Filling Out Form * Company Name * Employee Campaign Coordinator * Email for Employee Campaign Coordinator * Would you like any employees (1-2 people) to have administrative rights to your ePledge site in order to print pledge reports? * Yes No Name of Employee #1 Email Address of Employee #1 Name of Employee #2 Email Address of Employee #2 Total number of pay periods. * Is your organization willing to provide United Way with employee names and email addresses to make the donation process easier for your employers? * Yes, my organization will provide United Way with a list of employee names and email addresses so the employees can access donation history and receive personalized links. No, my organization is not willing to provide United Way with a list of employee names and email addresses. I understand this means we will receive a generalized link for our organization and all employees will have to manually enter their information. What is the date of your campaign kickoff? * MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Day12345678910111213141516171819202122232425262728293031 Day Year20192020202120222023 Year If providing employee email addresses, what date do you want your campaign kickoff email sent? MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Day12345678910111213141516171819202122232425262728293031 Day Year20192020202120222023 Year If providing employee email addresses, what date(s) you would like reminder email(s) sent? What date would you like your ePledge site to close? * MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Day12345678910111213141516171819202122232425262728293031 Day Year20192020202120222023 Year Submit
