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Women United
Events
Project Connect
Day of Caring
ALICE Awareness Week
VAN Mobile Resource Fair
Our Partners
Corporate Partners
365 Small Business Circle
Community Partners
Valley Assistance Network
Resources
Get Help
About Us
Calendar
Staff
Board of Directors
Accountability
Contact Us
Project Connect 2023 Providers
I am interested in setting up at the following Project Connect Events:
Project Connect - South (Woodstock on June 2, 2023)
Project Connect - North (Winchester on July 28, 2023)
All of the above
Agency Information:
Contact Information
Name
Agency/Nonprofit Name
Email
Phone
Address
Address 2
City/Town
State/Province
- None -
Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces (Canada, Europe, Africa, or Middle East)
Armed Forces Americas
Armed Forces Pacific
California
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Northwest Territories
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
ZIP/Postal Code
One site representative (if different)
One site representative’s email (if different)
Please list the names of all the individuals who will be representing your agency/serve at the event:
?
Re-order
Name
email
Weight
Operations
Name
email
Item weight
Add new item after item 1
Remove item 1
Add
Add more items
more items
Your services:
Please check your service area:
Medical
Dental
Housing & Shelter Services
Employment Services
Banking & Money Management
Kids & Family Services
Legal Services
Veterans Services
Other
Please describe the service(s) you will be providing on site:
Please check the set-up items you will need:
6’ table
2 chairs
Wifi
Power outlet (they are limited, so please check only if absolutely needed)
Private space for consultation
Any additional needs or requests?
List additional needs here:
I agree to the United Way Liability Waiver.
Read more
2022 Release and Waiver of Liability - This release and waiver of liability (the “release”) executed by the volunteer in favor of United Way of Shenandoah Valley, a non profit corporation, its officers, directors, employees, agents, participating agencies and non-member partner organizations (collectively, “United Way”). All volunteers desire to work as volunteers for United Way and engage in activities related to being a volunteer. Volunteers understand that that activities may include, but are not limited to manual labor, work with power tools and machinery, outdoor maintenance work, landscaping, and cleaning. The volunteers do hereby freely, voluntarily and without duress execute this release under the following terms: Waiver and Release. Volunteers hereby release and forever discharge and hold harmless United Way, its successors and assigns, from any and all liability, claims and demands of whatever kind of nature, either in law or in equity, which arise or may hereafter arise from volunteer work for United Way. Volunteers understand that this release discharges United Way and its participating agencies and non-member Day of Caring partner organizations from any liability or claim that the volunteer may have against United Way with respect to any bodily injury, illness, death or property damage that may result from volunteer work with United Way. Volunteers also understand that United Way does not assume any responsibility for or obligation to provide financial assistance or other assistance, including but not limited to medical, health or disability insurance in the event of injury or illness. Photo Release. Volunteers hereby authorize the United Way the use of photographs for United Way publications. Volunteers acknowledge that the use of photos is voluntary and that no financial compensation or ownership rights are expected. Each volunteer is expected and encouraged to obtain his or her own medical or health insurance coverage. IN WITNESS WHEREOF, volunteer has executed the release as of the day and year first above written.
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