Welcome to Heartland United Way

Name(s):

Daytime Phone:

Email Address:

Mailing Address:

City:

State:

Zip Code:

If you are a current (or past) board member or volunteer for a United Way agency/agencies, please list them here:

If you feel you have a personal or professional conflict of interest (read our policy below) with one of the agencies, please list the agency and describe the conflict:

Please choose your preference for a training date & time:

April 1st @ 7:30 a.m. or 12:30 p.m.
April 2nd @ 7:30 a.m. or 12:30 p.m.
March 31st @ 4:30 p.m.

Please type in what two dates would work for your schedule
(April 15th, 16th, 18th, 21st, 22nd, or 24th) Remember the
date you select will be an ALL DAY commitment:

1st choice

2nd choice

Conflict of Interest Policy
To avoid any conflict of interest or the appearance of a conflict of interest which could tarnish the reputation of HUW or undermine the public's trust, HUW Board members, staff, volunteers, and representatives should:

• Avoid any activity or outside interest which conflicts or appears to conflict with the best interest of HUW, including involvement with a current or potential HUW vendor, grantee or competing organization unless disclosed to and deemed to be appropriate by the decision-making body who will take the matter to the Board.

• Ensure that outside employment and other activities do not adversely affect the performance of their HUW duties or the achievement of HUW's mission.

• Ensure that travel, entertainment and related expenses are incurred on a basis consistent with the mission of HUW and not for personal gain or interest.

• Decline any gift, gratuity or favor in the performance of HUW duties except for promotional items of nominal value (under $50). Declines the offer of any food, transportation, lodging or entertainment unless directly related to HUW business.

• Refrain from influencing the selection of staff, consultants or vendors who are relatives or personal friends or affiliated with or employed by a person with whom they have a relationship that might give the appearance of partiality.

• Loans to non-profit executives and volunteers are prohibited.