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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 211@uwsv.org.
United
Way Silicon Valley
Attn: Resource Specialist
1400 Parkmoor Ave, Suite 250
San Jose, CA 95126-3429
Fax: (408) 345-4301
Email: 211@uwsv.org
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