LIVE UNITED Live United
Volunteer
Get Help
Give

Pacesetter Program Enrollment Form

Our organization is interested in becoming a Pacesetter for the 2012 United Way of Greater Cleveland campaign. Please have a United Way representative contact us. View the 2011 Pacesetter organizations.
* required information
 
Your Contact Information
Form Identification:
Company Name:*
First Name:*
Last Name:*
Job Title:
Email:*
Phone:*
Company Contact Info and Pacesetter Goal
CEO/Executive Director's Name:*
Employee Campaign Manager (ECM) Name:
ECM Title:
ECM Fax Number:
ECM Phone Number:
ECM Email:
Employee Pacesetter Campaign:
We commit to increase our company's total employee giving by 5%:
*
Yes
No
2012 Employee Goal:$
Corporate Pacesetter Campaign:
We commit to a 5 percent increase over our 2011 corporate gift:
*
Yes
No
2012 Corporate Goal:$