SERVICE PROVIDER PORTAL
ADD your organization to the 211 Database
- Verify that your organization and programs meet the 211 Santa Clara County Inclusion Policy
- If you believe your organization meets the Inclusion Policy criteria, complete each of the required
Profile Forms listed below.
All information you provide will be reviewed for accuracy. Incomplete forms will cause a significant
delay in the review and process of your application.
UPDATE your organization's information in the 211 Database
- For your convenience, you may view your organization's current profile in our online database prior to submitting updates.
- Complete and submit only the Profile Form(s) below that apply to your update.
Please note that all information provided by your organization will be made available to the general public via our
website (www.211scc.org) unless requested otherwise.
Submit all forms to:
fax: (408) 345-4301
mail: United Way Silicon Valley
Attn: 211 Database
1400 Parkmoor Ave., Suite 250
San Jose, CA 95126
General Inquires & Assistance - firstname.lastname@example.org
Materials, Outreach, & Events - email@example.com
Database Support - firstname.lastname@example.org or (408) 345-4380
Download Profile Forms:
Right click on link and choose "Save link as..." to save the document(s) to your computer.
Profile Form (DOC) - Use this form to submit information for
your administrative office/headquarters.
Profile Form (DOC) - Complete one (1) form for EACH site
within your organization where a service is offered.
Profile Form (DOC) - Complete one (1) form for EACH service or program
offered by your organization.