All data entered here will be received by the Schuylkill United Way offices in Pottsville.

Eligibility for listings in the database is outlined in our PA 2-1-1 Database Inclusion and Exclusion Policy, which can be found under the PA 2-1-1 tab at www.schuylkillunitedway.org.

If you have any questions regarding your information in the PA 2-1-1 database, please contact Schuylkill United Way at adminasst@schuylkillunitedway.org or 570.622.6421.

Throughout the form, please use an asterisk (*) to indicate private information, such as a secured and private physical location to a private phone number.

Thank you!