Kickoff Speaker Request Form

Thank you for scheduling a speaker for your campaign! If possible, please submit your request at least two weeks in advance. If scheduling less than two weeks prior to the event or if you have any questions regarding kickoffs, please contact the Resource Development Director at rd@uwgcv.org or 715-834-5043.

Today's Date

Organization Information

Organization Contact Information

First Name

Last Name

Phone Number

Physical Address of Organization

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Will your kickoff be held at the physical address listed above?

Yes

If not, please list the location of your kickoff.

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Additional Details on Location (Please include as many details as possible for the speaker: entrance location, check in procedures, etc.)

Presentation Details

Date of Kickoff

Start Time of Kickoff

Estimated Audience Size

Time Allotted for Speaker (Minutes)

Meeting Venue (Break Room, Plant, Conference Room, etc.)

Would you like a Program Partner to present at your kickoff?

Yes

To respect the time of our Program Partners, we ask for at least 10 minutes to give time for both them and United Way staff to share information about the United Way campaign.

Is there a specific initiative (Health, Education, Financial Stability or Basic Needs) that your organization wants to hear more about?

If you want to hear from a specific Program Partner please list their name below. We will try to accommodate this request but listing their name does not guarantee that this organization will be available to be at the presentation.

You can learn more about our initiatives here and our Program Partners here.

Which Program Partners have presented to your organization in the past?

Other Scheduled Speakers

Other Notes for Speaker

Organization Information

Presentation Details

THE LATEST