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VOLUNTEERS:  Thank you for serving as a volunteer in 2024 with the United Way of Greater Kingsport. Please complete the following information regarding your contact information, demography, volunteer activities, conflict-of-interest and giving history to assure our records are updated and accurate. This information is collected by the Leadership Development Committee.  Conflict of Interest responses are required for all Board members. Questions can be directed to Stefanie Weakley sweakley@uwaykpt.org or 423-378-3409 ext. 16. 


Thank you,

Danelle Glasscock

Executive Director

United Way of Greater Kingsport
Name
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Preferred Phone
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Address
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City, State
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Zip Code
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Preferred Email
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Employment Status
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Gender
Race/Ethnicity
Education Level
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Annual Household Income
2024 Volunteer Information (Check all that apply)
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Please read the United Way of Greater Kingsport Code of Ethics by clicking here and then clicking on Code of Ethics to open the document. Hard copies are available at the United Way of Greater Kingsport Office. Please type your name below to indicate you have carefully read the UW Code of Ethics and agree to abide by is provisions.
* Please type your name below to indicate you have carefully read the UW Code of Ethics and agree to abide by is provisions.
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Please list organizations in which you are currently participating as a volunteer or paid staff member. Place a star "*" by those oganizations you support in a significant way (such as serving on the Board, leadership position or contributions). Organizations "starred" will represent a disclosure of all known conflicts or potential conflicts of interest where you may need to withdraw from the meeting room during the discussion, review, and voting in connection with known conflict.  

(Example:  1. Downtown Church XYZ *; 2. Meals on Wheels Driver; 3. Girl Scout Troop 320 Leader*)
* CONFLICT OF INTEREST QUESTION: Instructions: Board Members are REQUIRED to answer this question. Other committee members and volunteers it is RECOMMENDED to answer this question.
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I would like more information from Resource Development on:
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Comments
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Are there other areas or positions within United Way you would be interested in serving in the future?
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Thank you for completing this survey and for serving with the United Way of Greater Kingsport in 2024!
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