Workplace Campaign FormInterested in offering a United Way workplace campaign?Hundreds of employers throughout central Illinois participate in our annual campaign each year. The Heart of Illinois United Way provides employers with an easy charitable giving option while increasing employees’ awareness of community needs. If you’d like to learn how to host a workplace campaign, fill out the form and we will contact you.Organization InformationOrganization Name(Required)Organization Website(Required)Organization Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code County(Required)PeoriaTazewellWoodfordMarshallStarkPutnamTotal Number of Employees(Required)We are interested in:(Required) Workplace Campaign Corporate Gift BothOrganization Contact Name(Required) First Last Email(Required) Phone(Required)Phone ExtensionNote(s)CommentsThis field is for validation purposes and should be left unchanged.