Skip to main content
Search
Search
Header menu new
Give
Advocate
Volunteer
Get Help
Our Impact
Health
Health Resources
Financial Stability
Basic Needs
Education
eLibrary
Little Free Libraries
Become a Funded Partner
Capacity Building Microgrant
Community Impact Grant
Be Well™ Baytown
Disaster Recovery (BACC-DR)
Impact Stories
Initiatives
Get Involved
Workplace Campaign
Campaign Cabinet
Workplace Campaign Toolkit
Small Business, Big Impact
Leadership Givers
Loyal Contributors
Days of Caring
Days of Caring 2024
Quality Improvement Partnership Network (QIPN)
QIP Network Newsletter Content Submission
Advocate
Employment Opportunities
LIVE UNITED Award
About Us
United Way Staff
United Way Board
Our Committees
Contact Us
FAQs
Our Partners
Corporate Partners
Sponsorships
Small Business Big Impact
Photo Albums
Annual Meeting 2022
Volunteer Awards & Appreciation 2022
What is United Way?
Contact Us
Header menu new
Give
Advocate
Volunteer
Get Help
Main menu
Our Impact
Health
Financial Stability
Basic Needs
Education
eLibrary
Little Free Libraries
Become a Funded Partner
Capacity Building Microgrant
Community Impact Grant
Be Well™ Baytown
Disaster Recovery (BACC-DR)
Impact Stories
Initiatives
Get Involved
Workplace Campaign
Campaign Cabinet
Workplace Campaign Toolkit
Small Business, Big Impact
Leadership Givers
Loyal Contributors
Days of Caring
Days of Caring 2024
Quality Improvement Partnership Network (QIPN)
Advocate
Employment Opportunities
LIVE UNITED Award
About Us
United Way Staff
United Way Board
Our Committees
Contact Us
FAQs
Our Partners
Corporate Partners
Sponsorships
Small Business Big Impact
Photo Albums
Annual Meeting 2022
Volunteer Awards & Appreciation 2022
What is United Way?
Contact Us
Main menu
Our Impact
Health
Financial Stability
Basic Needs
Education
eLibrary
Little Free Libraries
Become a Funded Partner
Capacity Building Microgrant
Community Impact Grant
Be Well™ Baytown
Disaster Recovery (BACC-DR)
Impact Stories
Initiatives
Get Involved
Workplace Campaign
Campaign Cabinet
Workplace Campaign Toolkit
Small Business, Big Impact
Leadership Givers
Loyal Contributors
Days of Caring
Days of Caring 2024
Quality Improvement Partnership Network (QIPN)
Advocate
Employment Opportunities
LIVE UNITED Award
About Us
United Way Staff
United Way Board
Our Committees
Contact Us
FAQs
Our Partners
Corporate Partners
Sponsorships
Small Business Big Impact
Photo Albums
Annual Meeting 2022
Volunteer Awards & Appreciation 2022
What is United Way?
Contact Us
Women United 2022 Survey
You must have JavaScript enabled to use this form.
Demographics
Name
Employer
Preferred Email
Preferred Phone
Address
Address 2
City/Town
State/Province
- None -
Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces (Canada, Europe, Africa, or Middle East)
Armed Forces Americas
Armed Forces Pacific
California
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
ZIP/Postal Code
What are your community concerns? (Choose 1 or more)
Access to Healthcare
Providing basic needs (food, shelter, clothing)
Child Abuse
Childcare
Cradle to Career options
Domestic Violence
Drug Abuse
Financial Literacy
Homelessness
Human Trafficking
Mental Health
Poverty
School Readiness
STEM or STEAM
Other…
Enter other…
Are you interested in any of the following? (Choose 1 or more)
Leadership Training
Mentoring
Socials / Networking
Volunteer Projects
Other…
Enter other…
Are you interested in becoming an active member of Women United?
- Select -
Yes
No
If yes, what area are you interested in?
Events Committee
Communication Committee
Membership Committee
Volunteer/Service Committee
Other…
Enter other…
Do you have a strong interest in joining the group that leads Women United?
- Select -
Yes, I would like to learn more about the member role on the Executive Council.
No, I am not interested at this time.
Submit
Leave this field blank