Agency Speaker Request

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 or take a tour.

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)
MM slash DD slash YYYY
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.
Time Speaker is Needed(Required)
:
Speakers will be advised to arrive a minimum of 15 minutes prior to the time listed.
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(Required)
Please enter a number greater than or equal to 0.
Please enter a number from 5 to 30.
If you are requesting a speaker for 15 minutes or longer, will you allow PowerPoint presentations to be used?"

Thank you for requesting a speaker.

You should receive 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 call us at 309-674-5181 if you have any questions.

This field is for validation purposes and should be left unchanged.

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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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