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Please complete the form below to learn more about being a United Way of Marathon County Emerging Leaders member. Once your form is submitted Sarah Tifft, Director of Affinity Groups, will reach out to you within 2 business days for next steps.

First & Last Name: *

Home Mailing Address: *

Work E-Mail: *

Cell/Home Phone (Area Code & 7 Digit Number & Extension If Applicable): *

Current Employer: *

Referred By (If None Put N/A): *

What is your current relationship to United Way Emerging Leaders?

I already donate the minimum $100 to be a member.

Yes

I am a combined giver with (first/last name):

I do not currently donate enough to be an Emerging Leaders member but would like more information.

I would like more information regarding (please check all that apply):

Joining Connect, Serve, or Lead

Career Closet

Other

Items marked with an asterisk(*) are required