Request a Tour Post May 12, 2016 Book a tour of a nonprofit agency for your employees! Please select United Way staff liaison: * - Select -Tabitha AngelBen AcedoRuss GostageStacy WolfenbergerDanielle HendersonAmber LovettPaula MummDamon LeardiniDawn Clark-LambKathy DarlingDeborah DenhamEsther VicenteMichael ThomasSalome WameyaSamuel TurnerSunshine GarsideNot sure Department/Organization Name: * CONTACT INFORMATIONEmployee Campaign Coordinator (ECC) First name: * Last name: * Phone: * Email: * Site Contact Person (if different from ECC) First name: Last name: Phone: Email: SCHEDULING YOUR TOUR Please provide dates and times you’re looking to tour an agency. Length of tour: * 10 - 15 minutes15 - 20 minutes20 - 30 minutes30 - 60 minutesOther Let us know the length of time you’re available for a tour Preferred date #1: * MonthJanFebMarAprMayJunJulAugSepOctNovDec Day12345678910111213141516171819202122232425262728293031 Year202120222023 Preferred time #1: * hour123456789101112 : minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 am pm Preferred date #2: MonthJanFebMarAprMayJunJulAugSepOctNovDec Day12345678910111213141516171819202122232425262728293031 Year202120222023 Preferred time #2: hour123456789101112 : minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 am pm AUDIENCE DETAILS Audience is primarily: * - Select -ProfessionalExecutive ManagementManagementManufacturing/OperationsRetailAll Staff Size of audience: * # If other, please list: Select topic issues your company is interested in: * Animals Children and Youth Education Families Financial Stability Health Safe communities Self-Sufficiency Other Please list 'other' topic issue: PREFERRED NONPROFITS Please list your top 3 nonprofit agencies you’re interested in touring and we will make every effort to book these agencies. Agency #1: * Agency #2: Agency #3: Other comments or instructions: