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The 2-1-1 System connects people through a database designed for
providing human service information.
To be considered for inclusion in our database, please follow these
steps.
1. Verify your agency and programs fit our Inclusion
Policy.
2. If your agency qualifies, submit the following forms below. Please read
the instructions carefully. Multiple forms are required.
3. Once the data has been entered into the database, the designated
2-1-1 contact will be emailed with a copy of the agency record.
4. Information provided in their entirety will be prioritized first.
You may
click on the blue underlined links to download each form. Please
note that multiple forms (Agency, Site, and Service Profiles)
are required for submission.
To type directly
into the fields as a Word Document, please download these files:
If you are
having trouble downloading these files from Mozilla Firefox, please
use Internet Explorer instead.
- Agency
Profile - Please fill out this form for your administrative office
or headquarters.
- Site
Profile - Please fill out one form PER site or location
within your organization offering a service. Multiple forms
may be required depending on the number of sites at your agency.
You do not need to fill out this form if your headquarters
is the only site within your organization.
- Service
Profile - Please fill out one form PER service offered
in your organization. Multiple forms may be required.
To
print out and hand write in the required fields, please download
these files:
- Agency
Profile.pdf -
Please fill out this form for your administrative office or headquarters.
- Site
Profile.pdf -
Please fill out one form PER site or location within your organization
offering a service. Multiple forms may be required depending on
the number of sites at your agency. You do not need to fill
out this form if your headquarters is the only site within
your organization.
- Service
Profile.pdf - Please fill out one form PER service offered
in your organization. Multiple forms may be required.
For a visual
representation of what each form represents, please see below:
Please complete these files in their entirety to be considered
for updates to our database. Fully completed agency, site and service
profiles are given priority for data entry and updates into the database.
For any
questions, please email monique.pham@uwsv.org or
call us at (408) 345-4341.
United Way Silicon Valley
Attn: Monique Pham
1922 The Alameda, 4th Floor
San Jose, CA 95126
Fax: (408) 345-4301
Email: monique.pham@uwsv.org
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