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Agency Speaker Request

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A donation to the Heart of Illinois United Way changes people’s lives, but sometimes it is hard for donors to connect how their gift makes a difference. Hosting an agency speaker can inspire your employees during your workplace fundraising campaign.

The Heart of Illinois United Way can help you arrange your next speaker. Please complete the form below. Requests need to be submitted a minimum of two weeks prior to the date you wish to host a speaker.

Please contact if you have any further questions.

Organization Information

Contact Name(Required)

Speaker Request Information

The suggested agenda for the meeting:

  • Welcome/Campaign Endorsement
  • United Way Campaign Staff Speaker
  • Agency Speaker (optional)
  • Wrap-Up/Closing Remarks
Speaker Type(Required)
To select dates in upcoming months, please navigate to that month using the top arrows or dropdown menu in the date picker. Do not try to select "grayed out" dates.
Arrival Time(Required)
:
Speaker Start Time(Required)
:
Speaker Time Limit(Required)
Is the speaker expected to stay for the entirety of the meeting/event?(Required)
If yes, please provide the meeting/event end time.
:
If you are requesting a speaker for 15 minutes or longer, will you allow PowerPoint presentations to be used?
Please enter a number greater than or equal to 0.
*Please share specifics for parking, entrance, sign-in, safety procedures, and nature of the meeting/event (i.e., staff meeting, chili cookoff, etc.)
Address/Location for Speaking Engagement(Required)

Please share contact information for someone a speaker can call at the time of meeting if they encounter an issue or need further directions.

Contact Name(Required)
If requesting a Partner Agency Speaker, please select three (3) options

Thank you for requesting a speaker.

You should receive a confirmation email for this request form once you click submit.

A Heart of Illinois United Way staff member will follow-up with you within three (3) business days.

Please email Pamela Biles at if you have any questions.

Contact 2-1-1 Support

Contact Information

Heart of Illinois United Way, 509 W. High Street, Peoria, IL, 61606 United States, http://www.hoiunitedway.org. Privacy Policy

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We serve Peoria, Tazewell, Woodford, and Fulton Counties.

Contact Information

Heart of Illinois United Way, 509 W. High Street, Peoria, IL, 61606 United States, http://www.hoiunitedway.org. Privacy Policy

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Contact Information

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