2-1-1 Presentation & Outreach Request

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

United Way 2-1-1, serving Lucas, Wood and Ottawa counties is happy to provide information about our 2-1-1 services. Please provide details regarding the requested presentation and any specific needs of your group. We will contact you to confirm presentation details and the presenting staffer once your information is submitted. Thank you!

Today's Date *

YYYY

Contact Phone *

Contact Email *

Company/Agency Name *

Is this an Outreach Event or a Presentation? *

Outreach Event (e.g. community event, resource fair, tabling event, etc.)

Presentation (e.g. 2-1-1 overview to targeted audience with PowerPoint and demo)

Presentation/Event Date *

YYYY

Requested Arrival Time *

Time

Presentation/Event Time *

Time

Audience Size?

Audience Type?

Specific Needs of Company/Organization?

Presentation/Event Address or Virtual Zoom Presentation? *

Presentation Room/Floor/Location Details

Parking Instructions

Any Additional Information:

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of United Way of Greater Toledo. Report Abuse

Forms