Skip to content

Home
About
Our Impact
Get Involved
Partnership
News
Donate

Menu

Home
About
Our Impact
Get Involved
Partnership
News
Donate

Search

Search

Close this search box.

East Tennessee Collaborative Application Form

Fill out the form below to be considered for East Tennessee Collaborative.

Parent/Guardian's Name: *

First

Middle

Last

Parent/Guardian DOB: *

MM/DD/YY

I have a child under the age of 18. *

Yes

Street Address *

County *

State *

Zip Code *

Primary Phone Number *

Email *

Additional Phone Number

It is okay to contact me via text message.

Yes

Preferred Language *

I am interested in working with a mentor for these services (check all that apply):

Career Planning
Family Health & Wellbeing
Housing Stability
Financial Literacy/Budgeting
Educational Advancement
Goal Setting

Who would you prefer to serve you through the East Tennessee Collaboration? *

Boys and Girls Club
Catholic Charities
Centro Hispano
Girls, Inc.
Good Neighbors of Blount County
Knox Area Urban League
United Way of Anderson County
YMCA
YWCA
No Preference

Do you or any of your family members work or are affiliated with any of the agencies below? (Select "None" if not) *

Boys and Girls Club
Catholic Charities
Centro Hispano
Girls, Inc.
Good Neighbors of Blount County
Knox Area Urban League
United Way of Anderson County
United Way of Greater Knoxville
YMCA
YWCA
None

Who is submitting the referral? *

Self-referral
Agency
Friend/Family
The Change Center
Other

Please select one, if you are filling out this form for yourself, please select self-referral. After making your selection, please fill out the contact form below with the appropriate information.

Referral Contact Name: *

If you selected self-referral, enter "self"

Referral Contact Email: *

If you selected self-referral, enter "self"

Referral Contact Phone Number: *

(###) ###-####

How did you hear about East Tennessee Collaborative (ETC)? *

Get Involved

Donate
Volunteer
Workplace Campaigns
Affinity Groups & Giving Societies

Community Resources

Education
Health & Food
Economic Mobility
Housing
2-1-1
Financial Literacy Highway

Nonprofit
Resources

Alliance for Better Nonprofits
Apply for Grants

About

Our Story
Our Team
Careers
Annual Report
Funded Organizations

Connect

(865) 523-9131
info@unitedwayknox.org
1301 Hannah Avenue
Knoxville, TN 37921

Facebook-f Instagram Linkedin Twitter

© COPYRIGHT 2023 UNITED WAY OF GREATER KNOXVILLE. ALL RIGHTS RESERVED.

Terms and Conditions - Privacy Policy