Volunteer United Survey
If you are interested in participating in the United Way of Mesa County Volunteer United platform, please fill out this brief survey. We will be back in touch with the Quick Start Guide and the registration information for virtual Office Hours. Thank you!
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Organization/Entity Name *
Organization/Entity Mission Statement *
Physical Address of Organization/Entity *
Phone Number of Organization/Entity *
Organization/Entity Website *
Organization/Entity Contact Name and Title *
Please list the name and title of the primary person who will be using the Volunteer United portal (ex. Volunteer Coordinator name and title)
Organization/Entity Contact Email
 *
Please list the email address of the primary person who will be using the Volunteer United portal (ex. Volunteer Coordinator email)
Organization/Entity Contact Phone
 *
Please list the phone number of the primary person who will be using the Volunteer United portal (ex. Volunteer Coordinator phone)

PLEASE NOTE: United Way of Mesa County reserves the right to review each agency application and determine the eligibility of the agency based on the following criteria: Volunteer opportunities/events which are primarily religious or political in nature will not be eligible for Volunteer United. For this purpose, "primarily religious" volunteer opportunities/events are ones which promote or support a specific religion or religious cause, or ones which require as a condition of volunteering or receiving services that a person belong to or actively participate in a specific religion or religious cause. "Primarily political" volunteer opportunities/events are ones which promote or support a partisan political organization or position or advocate for special interest groups.

Please select the category for your Organization/Entity *
If "other", please describe
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