Your Voice Matters! Volunteers Needed! United Way Citizen Review Process Volunteer Application Thank you for your interest in participating in United Way’s Citizen Review Process. Please complete the application below to be considered as a volunteer evaluator. This process ensures fiscal and program accountability for agencies receiving United Way funds while addressing vital social service needs in our community. Applicant Information Full Name Company (if applicable) Email Phone Address City State - None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Zip Code Occupation Are you affiliated with any United Way-funded agencies? No Yes Please sepecify Have you previously participated in United Way’s Citizen Review Process? No Yes What year(s)? Why are you interested in serving as a volunteer for the Citizen Review Process? Are you available to attend the required training? Yes No Are you able to commit a few hours to site visits and evaluations of agencies receiving United Way funding? Yes No Please explain Acknowledgment & Signature: I understand that by participating in United Way’s Citizen Review Process, I am committing to reviewing funding requests, visiting agencies, and making funding recommendations. I agree to uphold the integrity and objectivity of the review process. Reset Name of Signer Date Submit Leave this field blank Or Download, Print and Mail the Application Here
