Agency Signup | United Way of Mower County

<!DOCTYPE html>     <html class="no-js" lang="en-US">  <head> <meta name="jim"> <meta charset="utf-8"> <meta http-equiv="X-UA-Compatible" content="IE=edge"> <title>Agency Signup | United Way of Mower County</title> <meta name="viewport" content="width=device-width, initial-scale=1"> <meta name="primary_color" content="005191"> <meta name="secondary_color" content="539ed0"> <meta name="social_message" content=""> <link rel="shortcut icon" href="https://s3.amazonaws.com/files.galaxydigital.com/5137/filemgr/favicon.ico?v=04c9" type="image/x-icon" /> <link rel="apple-touch-icon" href="/assets/images/logos/gc-sm-2023.png"> <meta property="og:image" content="https://uwmower.galaxydigital.comhttps://s3.amazonaws.com/files.galaxydigital.com/5137/images/banner-small.jpg?updated=1718725095" /> <script type="text/javascript">var currentLang = "en_US";var langItems = {'need': 'volunteer opportunity','needs': 'volunteer opportunities','respond': 'register',};</script>  <script 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src="https://s3.amazonaws.com/files.galaxydigital.com/5137/images/banner-large.jpg?updated=1718725095" alt="United Way of Mower County Desktop Site Banner" class="brand-banner-img lg visible-ms visible-sm visible-md visible-lg"> </div> </header> <div id="app-wrap" > <nav id="app-sidebar" role="navigation" title="Volunteer Navigation"> <ul class="nav-sidebar"> <li class="nav-item dashboard "> <a href=" /"> <svg role="presentation" class="icon icon-dashboard icon-house"><title>Home</title><use xlink:href="/assets/images/icons.svg#icon-house"></use></svg> Dashboard </a> </li> <li class="nav-item needs "> <a href="/need/"> <svg role="presentation" class="icon icon-needs icon-check-circled"><title>Get Connected Icon</title><use xlink:href="/assets/images/icons.svg#icon-check-circled"></use></svg> Volunteer Opportunities </a> </li> <li class="nav-item agencies active"> <a href="/agency/"> <svg role="presentation" class="icon icon-agencies icon-hand-globe"><title>Get Connected Icon</title><use xlink:href="/assets/images/icons.svg#icon-hand-globe"></use></svg> Agencies </a> </li> <li class="nav-item"> <a href="https://uwmower.galaxydigital.com/user/hours/" target="_blank"> <svg role="presentation" class="icon icon-flag"><title>Get Connected Icon</title><use xlink:href="/assets/images/icons.svg#icon-clock-circled-outline"></use></svg> Log Hours Here </a> </li> <li class="nav-item"> <a href="https://uwmower.galaxydigital.com/need/index?s=1&need_init_id=9112" target="_blank"> <svg role="presentation" class="icon icon-flag"><title>Get Connected Icon</title><use xlink:href="/assets/images/icons.svg#icon-apple"></use></svg> Volunteer to end hunger in our hometown </a> </li> <li class="nav-item"> <a href="https://www.galaxydigital.com/for-volunteers-your-new-get-connected-volunteer-mobile-app" target="_blank"> <svg role="presentation" class="icon icon-flag"><title>Get Connected Icon</title><use xlink:href="/assets/images/icons.svg#icon-play"></use></svg> Download the Get Connected App </a> </li> <li class="nav-item"> <a href="https://uwmower.galaxydigital.com/help-center/" target="_blank"> <svg role="presentation" class="icon icon-flag"><title>Get Connected Icon</title><use xlink:href="/assets/images/icons.svg#icon-attention"></use></svg> Help Center / Guides </a> </li> <li class="visible-md visible-lg"> <button id="collapse-sidebar" aria-controls="sidebar-menu"> <svg aria-hidden="true" class="icon icon-collapse-sidebar icon-arrow-move-left"> <title id="collapse-menu-title">Collapse Menu</title> <use xlink:href="/assets/images/icons.svg#icon-arrow-move-left"></use> </svg> <span class="visually-hidden">Collapse Menu</span> </button> </li> </ul> </nav> <div id="app-frame" class="move" role='main'> <div id="page-wrap" class="content panel"> <div class="page-title text-center prl-sm"> <h1>Sign Up Your Agency</h1> <p class="lead">Once your request is reviewed, you will receive an email with instructions on how to manage your profile.</p> <p>Looking for the Volunteer sign-up form? <a href="/user/register/">Click here.</a></p> </div> <div class="limit-600 text-center"> <div class="signup-box signup-agency p"> <form id="agency_signup" name="agency_signup" action="" method="post" class="form-styled" autocomplete="off"> <input type="hidden" name="_csrf_token_" value="6a8f551afee3dd642967d2636671519fd15b16f25f7eb38e40544f9939596954"/> <div class="form-group mt-xs "> <label for="agency_name" class="sr-only">Agency Name</label> <input type="text" class="form-control" id="agency_name" name="agency_name" placeholder="Agency Name (Required)" value="" required /> </div> <div class="form-group register-email "> <label for="user_email" class="sr-only">Email</label> <input type="email" class="form-control" id="user_email" name="user_email" placeholder="Agency Manager Email (Required)" value="" required /> </div> <div class="form-group "> <label for="agency_address" class="sr-only">Address Line 1</label> <input type="text" class="form-control" id="agency_address" name="agency_address" placeholder="Address Line 1 (Required)" value="" required /> </div> <div class="form-group "> <label for="agency_address2" class="sr-only">Address Line 2</label> <input type="text" class="form-control" id="agency_address2" name="agency_address2" placeholder="Address Line 2" value="" /> </div> <div class="form-group "> <label for="agency_city" class="sr-only">City</label> <input type="text" class="form-control" id="agency_city" name="agency_city" placeholder="City (Required)" value="" required /> </div> <div class="form-group "> <label for="agency_state" class="sr-only">Select a state</label> <div class="select-wrap form-control "> <select id="agency_state" name="agency_state" > <option value="" default>Select a State</option> <option value="AL" >Alabama</option> <option value="AK" >Alaska</option> <option value="AS" >American Samoa</option> <option value="AZ" >Arizona</option> <option value="AR" >Arkansas</option> <option value="UM-81" >Baker Island</option> <option value="CA" >California</option> <option value="CO" >Colorado</option> <option value="CT" >Connecticut</option> <option value="DE" >Delaware</option> <option value="DC" >District of Columbia</option> <option value="FL" >Florida</option> <option value="GA" >Georgia</option> <option value="GU" >Guam</option> <option value="HI" >Hawaii</option> <option value="UM-84" >Howland Island</option> <option value="ID" >Idaho</option> <option value="IL" >Illinois</option> <option value="IN" >Indiana</option> <option value="IA" >Iowa</option> <option value="UM-86" >Jarvis Island</option> <option value="UM-67" >Johnston Atoll</option> <option value="KS" >Kansas</option> <option value="KY" >Kentucky</option> <option value="UM-89" >Kingman Reef</option> <option value="LA" >Louisiana</option> <option value="ME" >Maine</option> <option value="MD" >Maryland</option> <option value="MA" >Massachusetts</option> <option value="MI" >Michigan</option> <option value="UM-71" >Midway Atoll</option> <option value="MN" >Minnesota</option> <option value="MS" >Mississippi</option> <option value="MO" >Missouri</option> <option value="MT" >Montana</option> <option value="UM-76" >Navassa Island</option> <option value="NE" >Nebraska</option> <option value="NV" >Nevada</option> <option value="NH" >New Hampshire</option> <option value="NJ" >New Jersey</option> <option value="NM" >New Mexico</option> <option value="NY" >New York</option> <option value="NC" >North Carolina</option> <option value="ND" >North Dakota</option> <option value="MP" >Northern Mariana Islands</option> <option value="OH" >Ohio</option> <option value="OK" >Oklahoma</option> <option value="OR" >Oregon</option> <option value="UM-95" >Palmyra Atoll</option> <option value="PA" >Pennsylvania</option> <option value="PR" >Puerto Rico</option> <option value="RI" >Rhode Island</option> <option value="SC" >South Carolina</option> <option value="SD" >South Dakota</option> <option value="TN" >Tennessee</option> <option value="TX" >Texas</option> <option value="UM" >United States Minor Outlying Islands</option> <option value="VI" >United States Virgin Islands</option> <option value="UT" >Utah</option> <option value="VT" >Vermont</option> <option value="VA" >Virginia</option> <option value="UM-79" >Wake Island</option> <option value="WA" >Washington</option> <option value="WV" >West Virginia</option> <option value="WI" >Wisconsin</option> <option value="WY" >Wyoming</option> </select> </div> </div> <div class="form-group "> <label for="agency_postal" class="sr-only">Zip Code</label> <input type="text" class="form-control" id="agency_postal" name="agency_postal" placeholder="Zip Code (Required)" value="" required /> <div class="select-wrap form-control"> <select aria-label='Country' id="agency_country" name="agency_country" class='countryRegEx' required> <option value="">Select a Country</option> <option value="US" selected data-postal_regex='\d{5}([ -]\d{4})?'>United States</option> <option value="GB" data-postal_regex='GIR[ ]?0AA|((AB|AL|B|BA|BB|BD|BH|BL|BN|BR|BS|BT|CA|CB|CF|CH|CM|CO|CR|CT|CV|CW|DA|DD|DE|DG|DH|DL|DN|DT|DY|E|EC|EH|EN|EX|FK|FY|G|GL|GY|GU|HA|HD|HG|HP|HR|HS|HU|HX|IG|IM|IP|IV|JE|KA|KT|KW|KY|L|LA|LD|LE|LL|LN|LS|LU|M|ME|MK|ML|N|NE|NG|NN|NP|NR|NW|OL|OX|PA|PE|PH|PL|PO|PR|RG|RH|RM|S|SA|SE|SG|SK|SL|SM|SN|SO|SP|SR|SS|ST|SW|SY|TA|TD|TF|TN|TQ|TR|TS|TW|UB|W|WA|WC|WD|WF|WN|WR|WS|WV|YO|ZE)(\d[\dA-Z]?[ ]?\d[ABD-HJLN-UW-Z]{2}))|BFPO[ ]?\d{1,4}'>United Kingdom</option> <option value="CA" data-postal_regex='[ABCEGHJKLMNPRSTVXY]\d[ABCEGHJ-NPRSTV-Z][ ]?\d[ABCEGHJ-NPRSTV-Z]\d'>Canada</option> <option value="AU" data-postal_regex='\d{4}'>Australia</option> <option value="AF" data-postal_regex=''>Afghanistan</option> <option value="AX" data-postal_regex='22\d{3}'>Aland Islands</option> <option value="AL" data-postal_regex=''>Albania</option> <option value="DZ" data-postal_regex='\d{5}'>Algeria</option> <option value="AS" data-postal_regex='96799'>American Samoa</option> <option value="AD" data-postal_regex='AD\d{3}'>Andorra</option> <option value="AO" data-postal_regex=''>Angola</option> <option value="AI" data-postal_regex=''>Anguilla</option> <option value="AQ" data-postal_regex=''>Antarctica</option> <option value="AG" data-postal_regex=''>Antigua And Barbuda</option> <option value="AR" data-postal_regex='([A-HJ-NP-Z])?\d{4}([A-Z]{3})?'>Argentina</option> <option value="AM" data-postal_regex='(37)?\d{4}'>Armenia</option> <option value="AW" data-postal_regex=''>Aruba</option> <option value="AT" data-postal_regex='\d{4}'>Austria</option> <option value="AZ" data-postal_regex='\d{4}'>Azerbaijan</option> <option value="BH" data-postal_regex='((1[0-2]|[2-9])\d{2})?'>Bahrain</option> <option value="BD" data-postal_regex='\d{4}'>Bangladesh</option> <option value="BB" data-postal_regex='(BB\d{5})?'>Barbados</option> <option value="BY" data-postal_regex='\d{6}'>Belarus</option> <option value="BE" data-postal_regex='\d{4}'>Belgium</option> <option value="BZ" data-postal_regex=''>Belize</option> <option value="BJ" data-postal_regex=''>Benin</option> <option value="BM" data-postal_regex='[A-Z]{2}[ ]?[A-Z0-9]{2}'>Bermuda</option> <option value="BT" data-postal_regex=''>Bhutan</option> <option value="BO" data-postal_regex=''>Bolivia</option> <option value="BQ" data-postal_regex=''>Bonaire, Sint Eustatius and Saba</option> <option value="BA" data-postal_regex='\d{5}'>Bosnia and Herzegovina</option> <option value="BW" data-postal_regex=''>Botswana</option> <option value="BV" data-postal_regex=''>Bouvet Island</option> <option value="BR" data-postal_regex='\d{5}[-]?\d{3}'>Brazil</option> <option value="IO" data-postal_regex='BBND 1ZZ'>British Indian Ocean Territory</option> <option value="BN" data-postal_regex='[A-Z]{2}[ ]?\d{4}'>Brunei</option> <option value="BG" data-postal_regex='\d{4}'>Bulgaria</option> <option value="BF" data-postal_regex=''>Burkina Faso</option> <option value="BI" data-postal_regex=''>Burundi</option> <option value="KH" data-postal_regex='\d{5}'>Cambodia</option> <option value="CM" data-postal_regex=''>Cameroon</option> <option value="CV" data-postal_regex='\d{4}'>Cape Verde</option> <option value="KY" data-postal_regex=''>Cayman Islands</option> <option value="CF" data-postal_regex=''>Central African Republic</option> <option value="TD" data-postal_regex=''>Chad</option> <option value="CL" data-postal_regex='\d{7}'>Chile</option> <option value="CN" data-postal_regex='\d{6}'>China</option> <option value="CX" data-postal_regex='6798'>Christmas Island</option> <option value="CC" data-postal_regex='6799'>Cocos (Keeling) Islands</option> <option value="CO" data-postal_regex=''>Colombia</option> <option value="KM" data-postal_regex=''>Comoros</option> <option value="CG" data-postal_regex=''>Congo</option> <option value="CK" data-postal_regex='\d{4}'>Cook Islands</option> <option value="CR" data-postal_regex='\d{4,5}|\d{3}-\d{4}'>Costa Rica</option> <option value="CI" data-postal_regex=''>Cote D'Ivoire (Ivory Coast)</option> <option value="HR" data-postal_regex='\d{5}'>Croatia</option> <option value="CU" data-postal_regex=''>Cuba</option> <option value="CW" data-postal_regex=''>Cura莽ao</option> <option value="CY" data-postal_regex='\d{4}'>Cyprus</option> <option value="CZ" data-postal_regex='\d{3}[ ]?\d{2}'>Czech Republic</option> <option value="CD" data-postal_regex=''>Democratic Republic of the Congo</option> <option value="DK" data-postal_regex='\d{4}'>Denmark</option> <option value="DJ" data-postal_regex=''>Djibouti</option> <option value="DM" data-postal_regex=''>Dominica</option> <option value="DO" data-postal_regex='\d{5}'>Dominican Republic</option> <option value="TL" data-postal_regex=''>East Timor</option> <option value="EC" data-postal_regex='([A-Z]\d{4}[A-Z]|(?:[A-Z]{2})?\d{6})?'>Ecuador</option> <option value="EG" data-postal_regex='\d{5}'>Egypt</option> <option value="SV" data-postal_regex=''>El Salvador</option> <option value="GQ" data-postal_regex=''>Equatorial Guinea</option> <option value="ER" data-postal_regex=''>Eritrea</option> <option value="EE" data-postal_regex='\d{5}'>Estonia</option> <option value="ET" data-postal_regex='\d{4}'>Ethiopia</option> <option value="FK" data-postal_regex='FIQQ 1ZZ'>Falkland Islands</option> <option value="FO" data-postal_regex='\d{3}'>Faroe Islands</option> <option value="FJ" data-postal_regex=''>Fiji Islands</option> <option value="FI" data-postal_regex='\d{5}'>Finland</option> <option value="FR" data-postal_regex='\d{2}[ ]?\d{3}'>France</option> <option value="GF" data-postal_regex='9[78]3\d{2}'>French Guiana</option> <option value="PF" data-postal_regex='987\d{2}'>French Polynesia</option> <option value="TF" data-postal_regex=''>French Southern Territories</option> <option value="GA" data-postal_regex=''>Gabon</option> <option value="GM" data-postal_regex=''>Gambia The</option> <option value="GE" data-postal_regex='\d{4}'>Georgia</option> <option value="DE" data-postal_regex='\d{5}'>Germany</option> <option value="GH" data-postal_regex=''>Ghana</option> <option value="GI" data-postal_regex=''>Gibraltar</option> <option value="GR" data-postal_regex='\d{3}[ ]?\d{2}'>Greece</option> <option value="GL" data-postal_regex='39\d{2}'>Greenland</option> <option value="GD" data-postal_regex=''>Grenada</option> <option value="GP" data-postal_regex='9[78][01]\d{2}'>Guadeloupe</option> <option value="GU" data-postal_regex='969[123]\d([ -]\d{4})?'>Guam</option> <option value="GT" data-postal_regex='\d{5}'>Guatemala</option> <option value="GG" data-postal_regex='GY\d[\dA-Z]?[ ]?\d[ABD-HJLN-UW-Z]{2}'>Guernsey and Alderney</option> <option value="GN" data-postal_regex='\d{3}'>Guinea</option> <option value="GW" data-postal_regex='\d{4}'>Guinea-Bissau</option> <option value="GY" data-postal_regex=''>Guyana</option> <option value="HT" data-postal_regex='\d{4}'>Haiti</option> <option value="HM" data-postal_regex='\d{4}'>Heard Island and McDonald Islands</option> <option value="HN" data-postal_regex='(?:\d{5})?'>Honduras</option> <option value="HK" data-postal_regex=''>Hong Kong S.A.R.</option> <option value="HU" data-postal_regex='\d{4}'>Hungary</option> <option value="IS" data-postal_regex='\d{3}'>Iceland</option> <option value="IN" data-postal_regex='\d{6}'>India</option> <option value="ID" data-postal_regex='\d{5}'>Indonesia</option> <option value="IR" data-postal_regex='.*'>Iran</option> <option value="IQ" data-postal_regex='\d{5}'>Iraq</option> <option value="IE" data-postal_regex='([AC-FHKNPRTV-Y]\d{2}|D6W) ?[0-9AC-FHKNPRTV-Y]{4}'>Ireland</option> <option value="IL" data-postal_regex='\d{5}'>Israel</option> <option value="IT" data-postal_regex='\d{5}'>Italy</option> <option value="JM" data-postal_regex=''>Jamaica</option> <option value="JP" data-postal_regex='\d{3}-\d{4}'>Japan</option> <option value="JE" data-postal_regex='JE\d[\dA-Z]?[ ]?\d[ABD-HJLN-UW-Z]{2}'>Jersey</option> <option value="JO" data-postal_regex='\d{5}'>Jordan</option> <option value="KZ" data-postal_regex='\d{6}'>Kazakhstan</option> <option value="KE" data-postal_regex='\d{5}'>Kenya</option> <option value="KI" data-postal_regex=''>Kiribati</option> <option value="XK" data-postal_regex='\d{5}'>Kosovo</option> <option value="KW" data-postal_regex='\d{5}'>Kuwait</option> <option value="KG" data-postal_regex='\d{6}'>Kyrgyzstan</option> <option value="LA" data-postal_regex='\d{5}'>Laos</option> <option value="LV" data-postal_regex='\d{4}'>Latvia</option> <option value="LB" data-postal_regex='(\d{4}([ ]?\d{4})?)?'>Lebanon</option> <option value="LS" data-postal_regex='\d{3}'>Lesotho</option> <option value="LR" data-postal_regex='\d{4}'>Liberia</option> <option value="LY" data-postal_regex=''>Libya</option> <option value="LI" data-postal_regex='(948[5-9])|(949[0-7])'>Liechtenstein</option> <option value="LT" data-postal_regex='\d{5}'>Lithuania</option> <option value="LU" data-postal_regex='\d{4}'>Luxembourg</option> <option value="MO" data-postal_regex=''>Macau S.A.R.</option> <option value="MK" data-postal_regex='\d{4}'>Macedonia</option> <option value="MG" data-postal_regex='\d{3}'>Madagascar</option> <option value="MW" data-postal_regex=''>Malawi</option> <option value="MY" data-postal_regex='\d{5}'>Malaysia</option> <option value="MV" data-postal_regex='\d{5}'>Maldives</option> <option value="ML" data-postal_regex=''>Mali</option> <option value="MT" data-postal_regex='[A-Z]{3}[ ]?\d{2,4}'>Malta</option> <option value="IM" data-postal_regex='IM\d[\dA-Z]?[ ]?\d[ABD-HJLN-UW-Z]{2}'>Man (Isle of)</option> <option value="MH" data-postal_regex='969[67]\d([ -]\d{4})?'>Marshall Islands</option> <option value="MQ" data-postal_regex='9[78]2\d{2}'>Martinique</option> <option value="MR" data-postal_regex=''>Mauritania</option> <option value="MU" data-postal_regex='(\d{3}[A-Z]{2}\d{3})?'>Mauritius</option> <option value="YT" data-postal_regex='976\d{2}'>Mayotte</option> <option value="MX" data-postal_regex='\d{5}'>Mexico</option> <option value="FM" data-postal_regex='(9694[1-4])([ -]\d{4})?'>Micronesia</option> <option value="MD" data-postal_regex='\d{4}'>Moldova</option> <option value="MC" data-postal_regex='980\d{2}'>Monaco</option> <option value="MN" data-postal_regex='\d{6}'>Mongolia</option> <option value="ME" data-postal_regex='8\d{4}'>Montenegro</option> <option value="MS" data-postal_regex=''>Montserrat</option> <option value="MA" data-postal_regex='\d{5}'>Morocco</option> <option value="MZ" data-postal_regex=''>Mozambique</option> <option value="MM" data-postal_regex=''>Myanmar</option> <option value="NA" data-postal_regex=''>Namibia</option> <option value="NR" data-postal_regex=''>Nauru</option> <option value="NP" data-postal_regex='\d{5}'>Nepal</option> <option value="NL" data-postal_regex='\d{4}[ ]?[A-Z]{2}'>Netherlands</option> <option value="NC" data-postal_regex='988\d{2}'>New Caledonia</option> <option value="NZ" data-postal_regex='\d{4}'>New Zealand</option> <option value="NI" data-postal_regex='\d{5}'>Nicaragua</option> <option value="NE" data-postal_regex='\d{4}'>Niger</option> <option value="NG" data-postal_regex='(\d{6})?'>Nigeria</option> <option value="NU" data-postal_regex=''>Niue</option> <option value="NF" data-postal_regex='2899'>Norfolk Island</option> <option value="KP" data-postal_regex=''>North Korea</option> <option value="MP" data-postal_regex='9695[012]([ -]\d{4})?'>Northern Mariana Islands</option> <option value="NO" data-postal_regex='\d{4}'>Norway</option> <option value="OM" data-postal_regex='(PC )?\d{3}'>Oman</option> <option value="PK" data-postal_regex='\d{5}'>Pakistan</option> <option value="PW" data-postal_regex='96940'>Palau</option> <option value="PS" data-postal_regex=''>Palestinian Territory Occupied</option> <option value="PA" data-postal_regex='\d{4}'>Panama</option> <option value="PG" data-postal_regex='\d{3}'>Papua new Guinea</option> <option value="PY" data-postal_regex='\d{4}'>Paraguay</option> <option value="PE" data-postal_regex=''>Peru</option> <option value="PH" data-postal_regex='\d{4}'>Philippines</option> <option value="PN" data-postal_regex='PCRN 1ZZ'>Pitcairn Island</option> <option value="PL" data-postal_regex='\d{2}-\d{3}'>Poland</option> <option value="PT" data-postal_regex='\d{4}([-]\d{3})?'>Portugal</option> <option value="PR" data-postal_regex='00[679]\d{2}([ -]\d{4})?'>Puerto Rico</option> <option value="QA" data-postal_regex=''>Qatar</option> <option value="RE" data-postal_regex='9[78]4\d{2}'>Reunion</option> <option value="RO" data-postal_regex='\d{6}'>Romania</option> <option value="RU" data-postal_regex='\d{6}'>Russia</option> <option value="RW" data-postal_regex=''>Rwanda</option> <option value="SH" data-postal_regex='(ASCN|STHL) 1ZZ'>Saint Helena</option> <option value="KN" data-postal_regex=''>Saint Kitts And Nevis</option> <option value="LC" data-postal_regex=''>Saint Lucia</option> <option value="PM" data-postal_regex='9[78]5\d{2}'>Saint Pierre and Miquelon</option> <option value="VC" data-postal_regex=''>Saint Vincent And The Grenadines</option> <option value="BL" data-postal_regex=''>Saint-Barthelemy</option> <option value="MF" data-postal_regex=''>Saint-Martin (French part)</option> <option value="WS" data-postal_regex=''>Samoa</option> <option value="SM" data-postal_regex='4789\d'>San Marino</option> <option value="ST" data-postal_regex=''>Sao Tome and Principe</option> <option value="SA" data-postal_regex='\d{5}'>Saudi Arabia</option> <option value="SN" data-postal_regex='\d{5}'>Senegal</option> <option value="RS" data-postal_regex='\d{6}'>Serbia</option> <option value="SC" data-postal_regex=''>Seychelles</option> <option value="SL" data-postal_regex=''>Sierra Leone</option> <option value="SG" data-postal_regex='\d{6}'>Singapore</option> <option value="SX" data-postal_regex=''>Sint Maarten (Dutch part)</option> <option value="SK" data-postal_regex='\d{3}[ ]?\d{2}'>Slovakia</option> <option value="SI" data-postal_regex='\d{4}'>Slovenia</option> <option value="SB" data-postal_regex=''>Solomon Islands</option> <option value="SO" data-postal_regex='\d{5}'>Somalia</option> <option value="ZA" data-postal_regex='\d{4}'>South Africa</option> <option value="GS" data-postal_regex='SIQQ 1ZZ'>South Georgia</option> <option value="KR" data-postal_regex='\d{3}[-]\d{3}'>South Korea</option> <option value="SS" data-postal_regex=''>South Sudan</option> <option value="ES" data-postal_regex='\d{5}'>Spain</option> <option value="LK" data-postal_regex='\d{5}'>Sri Lanka</option> <option value="SD" data-postal_regex=''>Sudan</option> <option value="SR" data-postal_regex=''>Suriname</option> <option value="SJ" data-postal_regex='\d{4}'>Svalbard And Jan Mayen Islands</option> <option value="SZ" data-postal_regex='[HLMS]\d{3}'>Swaziland</option> <option value="SE" data-postal_regex='\d{3}[ ]?\d{2}'>Sweden</option> <option value="CH" data-postal_regex='\d{4}'>Switzerland</option> <option value="SY" data-postal_regex=''>Syria</option> <option value="TW" data-postal_regex='\d{3}(\d{2})?'>Taiwan</option> <option value="TJ" data-postal_regex='\d{6}'>Tajikistan</option> <option value="TZ" data-postal_regex=''>Tanzania</option> <option value="TH" data-postal_regex='\d{5}'>Thailand</option> <option value="BS" data-postal_regex=''>The Bahamas</option> <option value="TG" data-postal_regex=''>Togo</option> <option value="TK" data-postal_regex=''>Tokelau</option> <option value="TO" data-postal_regex=''>Tonga</option> <option value="TT" data-postal_regex=''>Trinidad And Tobago</option> <option value="TN" data-postal_regex='\d{4}'>Tunisia</option> <option value="TR" data-postal_regex='\d{5}'>Turkey</option> <option value="TM" data-postal_regex='\d{6}'>Turkmenistan</option> <option value="TC" data-postal_regex='TKCA 1ZZ'>Turks And Caicos Islands</option> <option value="TV" data-postal_regex=''>Tuvalu</option> <option value="UG" data-postal_regex=''>Uganda</option> <option value="UA" data-postal_regex='\d{5}'>Ukraine</option> <option value="AE" data-postal_regex=''>United Arab Emirates</option> <option value="UM" data-postal_regex=''>United States Minor Outlying Islands</option> <option value="UY" data-postal_regex='\d{5}'>Uruguay</option> <option value="UZ" data-postal_regex='\d{6}'>Uzbekistan</option> <option value="VU" data-postal_regex=''>Vanuatu</option> <option value="VA" data-postal_regex='00120'>Vatican City State (Holy See)</option> <option value="VE" data-postal_regex='\d{4}'>Venezuela</option> <option value="VN" data-postal_regex=''>Vietnam</option> <option value="VG" data-postal_regex=''>Virgin Islands (British)</option> <option value="VI" data-postal_regex='008(([0-4]\d)|(5[01]))([ -]\d{4})?'>Virgin Islands (US)</option> <option value="WF" data-postal_regex='986\d{2}'>Wallis And Futuna Islands</option> <option value="EH" data-postal_regex=''>Western Sahara</option> <option value="YE" data-postal_regex=''>Yemen</option> <option value="ZM" data-postal_regex='\d{5}'>Zambia</option> <option value="ZW" data-postal_regex=''>Zimbabwe</option> </select> </div> </div> <div class="form-group "> <label for="agency_ein" class="sr-only">EIN</label> <input id="agency_ein" class="form-control" type="text" name="agency_ein" value="" placeholder="EIN " /> </div> <div class="form-group "> <label for="agency_contact" class="sr-only">Contact Person</label> <input id="agency_contact" class="form-control" type="text" name="agency_contact" value="" required placeholder="Contact Person (Required)" /> </div> <div class="form-group "> <label for="agency_contact_title" class="sr-only">Contact Title</label> <input id="agency_contact_title" class="form-control" type="text" name="agency_contact_title" value="" required placeholder="Contact Title (Required)" /> </div> <div class="form-group "> <label for="agency_contacts"> Additional Notification Recipient(s)   <span class="tooltip-icon-wrap"> <svg role="img" class="icon icon-md icon-secondary icon-help-circled"><title>Get Connected Icon</title><use xlink:href="/assets/images/icons.svg#icon-help-circled"></use></svg> <span class="tooltip-trigger" tabindex="0" data-toggle="tooltip" data-placement="bottom auto" title="Add a new email address per line. Emails entered here will be sent notifications for need responses and event RSVPs. This field does not appear publicly."></span> </span> </label> <textarea placeholder="Additional Notification Emails " id="agency_contacts" class="form-control" rows="6" name="agency_contacts" ></textarea> </div> <div class="form-group "> <label for="agency_email" class="sr-only">Email</label> <input type="email" id="agency_email" class="form-control" name="agency_email" value="" placeholder="Agency Email (Required)" required> </div> <div class="form-group "> <label for="agency_phone" class="sr-only">Phone</label> <input id="agency_phone" class="form-control intl-phone" type="tel" name="agency_phone" value="" required placeholder="Phone (Required)" /> </div> <div class="form-group"> <label for="agency_phone_extension" class="sr-only">Phone Ext.</label> <input id="agency_phone_extension" class="form-control" type="tel" name="agency_phone_extension" value="" placeholder="Phone Ext." /> </div> <div class="form-group "> <label for="agency_fax" class="sr-only">Fax</label> <input id="agency_fax" class="form-control intl-phone" type="tel" name="agency_fax" value="" placeholder="FAX " /> </div> <div class="form-group "> <label for="agency_categories"> Causes  <sup>*</sup> <span class="tooltip-icon-wrap"> <svg role="img" class="icon icon-md icon-secondary icon-help-circled"><title>Get Connected Icon</title><use xlink:href="/assets/images/icons.svg#icon-help-circled"></use></svg> <span class="tooltip-trigger" tabindex="0" data-toggle="tooltip" data-placement="bottom auto" title="Identify the causes your Agency supports. Your selections will be used to match volunteers with Agencies that interest them."></span> </span> </label> <div class="select-wrap form-control"> <select id="cats-picker" class="form-control" name="cats-picker" required > <option value="">Select Causes (Required)</option> <option id="option-38182" value="38182">Advocacy & Human Rights</option> <option id="option-38183" value="38183">Animals</option> <option id="option-38184" value="38184">Arts & Culture</option> <option id="option-38361" value="38361">Bettering the Community</option> <option id="option-38185" value="38185">Children & Youth</option> <option id="option-38186" value="38186">Crisis Support</option> <option id="option-38188" value="38188">Education</option> <option id="option-38189" value="38189">Environment</option> <option id="option-38363" value="38363">Events</option> <option id="option-38190" value="38190">Food & Hunger</option> <option id="option-38191" value="38191">Health</option> <option id="option-38192" value="38192">Homelessness & Housing</option> <option id="option-38193" value="38193">Immigrants & Refugees</option> <option id="option-38194" value="38194">Marketing & Communications</option> <option id="option-38195" value="38195">Office Support</option> <option id="option-38364" value="38364">Physical Labor</option> <option id="option-38368" value="38368">Senior Citizens</option> <option id="option-38367" value="38367">Special Needs</option> <option id="option-38196" value="38196">Sports & Recreation</option> <option id="option-38366" value="38366">Transportation</option> </select> </div> <div id="cats-done" class="labels cats-holder"> </div> </div> <div class="form-group "> <label for="agency_link"> Customize Link <sup>*</sup>   <span class="tooltip-icon-wrap"> <svg role="img" class="icon icon-md icon-secondary icon-help-circled"><title>Get Connected Icon</title><use xlink:href="/assets/images/icons.svg#icon-help-circled"></use></svg> <span class="tooltip-trigger" tabindex="0" data-toggle="tooltip" data-placement="bottom auto" title="Add your own custom ending to the URL of your Agency's profile. The last segment of the agency page link. example.com/agency/detail/[direct-link]"></span> </span> </label> <input id="agency_link" class="form-control" type="text" name="agency_link" value="" required placeholder="Customize Link" /> </div> <div class="form-group "> <label for="agency_hours"> Hours of Operation   <span class="tooltip-icon-wrap"> <svg role="img" class="icon icon-md icon-secondary icon-help-circled"><title>Get Connected Icon</title><use xlink:href="/assets/images/icons.svg#icon-help-circled"></use></svg> <span class="tooltip-trigger" tabindex="0" data-toggle="tooltip" data-placement="bottom auto" title="No special format is required. You may enter days as well as time that your Agency is open."></span> </span> </label> <textarea placeholder="Hours of Operation" id="agency_hours" class="form-control" rows="6" name="agency_hours" ></textarea> </div> <div class="form-group "> <label for="agency_mission"> What We Do <sup>*</sup>   <span class="tooltip-icon-wrap"> <svg role="img" class="icon icon-md icon-secondary icon-help-circled"><title>Get Connected Icon</title><use xlink:href="/assets/images/icons.svg#icon-help-circled"></use></svg> <span class="tooltip-trigger" tabindex="0" data-toggle="tooltip" data-placement="bottom auto" title="How your Agency accomplishes its mission and vision: its programs and activities."></span> </span> </label> <textarea placeholder="What We Do" id="agency_mission" class="form-control jodit-editor" rows="6" name="agency_mission" required ></textarea> </div> <div class="form-group "> <label for="agency_news"> Who We Are   <span class="tooltip-icon-wrap"> <svg role="img" class="icon icon-md icon-secondary icon-help-circled"><title>Get Connected Icon</title><use xlink:href="/assets/images/icons.svg#icon-help-circled"></use></svg> <span class="tooltip-trigger" tabindex="0" data-toggle="tooltip" data-placement="bottom auto" title="Your Agency's mission, vision, and history."></span> </span> </label> <textarea placeholder="Who We Are" id="agency_news" class="form-control jodit-editor" rows="6" name="agency_news" ></textarea> </div> <div class="form-group "> <label for="agency_facebook_link" class="sr-only"><svg role="img" class="icon icon-md icon-facebook"><title>Get Connected Icon</title><use xlink:href="/assets/images/icons.svg#icon-facebook"></use></svg> Facebook </label> <input id="agency_facebook_link" class="form-control" type="text" name="agency_facebook_link" value="" placeholder="https://www.facebook.com/page " /> </div> <div class="form-group "> <label for="agency_twitter_link" class="sr-only"><svg role="img" class="icon icon-md icon-x-social"><title>Get Connected Icon</title><use xlink:href="/assets/images/icons.svg#icon-x-social"></use></svg> X/Twitter </label> <input id="agency_twitter_link" class="form-control" type="text" name="agency_twitter_link" value="" placeholder="https://www.twitter.com/page " /> </div> <div class="form-group "> <label for="agency_url" class="sr-only">Official Website </label> <input id="agency_url" class="form-control" type="text" name="agency_url" value="" placeholder="http://www.example.com/ " /> </div> <div class="form-group "> <label for="video"> Agency Video   <span class="tooltip-icon-wrap"> <svg role="img" class="icon icon-md icon-secondary icon-help-circled"><title>Get Connected Icon</title><use xlink:href="/assets/images/icons.svg#icon-help-circled"></use></svg> <span class="tooltip-trigger" tabindex="0" data-toggle="tooltip" data-placement="bottom auto" title="The share link to a YouTube or Vimeo video about your Agency."></span> </span> </label> <textarea placeholder="Enter URL of YouTube or Vimeo Video" id="agency_video" class="form-control" name="agency_video" ></textarea> </div> <div class="extra-password" style="display:none;"> <input type="password" style="display:none"/> <input class="form-control" type="password" name="current_user_password" placeholder="Current site password" /> <input type="hidden" id="showPassword" name="showPassword" value="" /> </div> <div class="extra-data" style="display:none;"> <h3>Contact Information</h3> <div class="form-group "> <input id="user_fname" class="form-control" type="text" name="user_fname" value="" placeholder="First Name" required /> </div> <div class="form-group "> <input id="user_lname" class="form-control" type="text" name="user_lname" value="" placeholder="Last Name" required /> </div> <div class="form-group "> <input type="password" style="display:none"/> <input id="user_password" class="form-control" type="password" name="user_password" placeholder="Password (Required)" required /> </div> <div class="form-group "> <input id="user_password_confirm" class="form-control" type="password" name="user_password_confirm" placeholder="Confirm Password (Required)" required /> </div> </div> <div class="extra-data" style="display:none;"> <div id="opt-out-group" class="form-group reg-grid-center"> <label for="settings_optout" class="pt-0 pb-0 mb-0" style='font-size: 14px;'> We use email to keep you informed of important confirmations, updates, changes, and reminders. Make sure you get these messages by selecting yes to receive emails from this site. Update your communication preferences in your profile at any time! <sup>*</sup> </label> <div class="radio-group"> <div class='row mt-sm' style='text-align: left; font-size: 14px;'> <div id="opt-out-options" class='col-sm-3'> <input id="settings_optout_on" type="radio" name="settings_optout" value="0" class="form-control" aria-labelledby="opt-out-yes" required /> <label for="settings_optout_on" style='font-size: 14px;'>Yes</label> <input id="settings_optout_out" type="radio" name="settings_optout" value="1" class="form-control" aria-labelledby="opt-out-no" required /> <label for="settings_optout_out" style='font-size: 14px;'>No</label> </div> <div id="opt-out-feedback" class='col-sm-9'> <div id='opt-out-yes'> I don鈥檛 want to receive emails about the Volunteer Opportunities I sign-up for. I understand that I will NOT receive important messages including confirmations, updates, changes, and reminders. </div> <div id='opt-out-no'> I want to receive emails, including important confirmations, updates, changes, and reminders. </div> </div> </div> </div> </div> <div class="form-group reg-grid-center"> <div class="radio-group"> <div class='' style='text-align: left;'> <input id="settings_privacy_accept" type="radio" name="settings_privacy_accept" value="1" class="form-control" required /> <label for="settings_privacy_accept"style='font-size: 14px;' >I have read and agree to <a href='https://www.galaxydigital.com/privacy-policy' target='_blank'>Privacy Policy</a>.<sup>*</sup></label> </div> </div> </div> </div> <button type="submit" class="btn btn-lg btn-primary hover-inverse round">Request Account</button> <input type="hidden" class="required" id="subject" name="subject" placeholder="Agency Subject (Required)" value="wT6SRc1XENua9oYIos5xtBzRdejKJzxkWZAZO%2Fr5PYkOVuxiHZJdTsHvdxixXcH35Z6xgR6LnYok4vY27tWwxQ%3D%3D" autofill="off" /> </form> </div> </div> </div> </div> <footer id="app-footer" class="move"> <div class="row"> <div class="footer-socials col-xs-12 col-sm-6"> <a class="social-link" href="https://www.facebook.com/uwmower/" target="_blank">Facebook</a> <a class="social-icon facebook" href="https://www.facebook.com/uwmower/" target="_blank"><span class="icon-social-facebook"></span><span class="sr-only">Facebook</span></a> </div> <div class="col-xs-7 col-sm-3 mt-xs"> <a target="_blank" href="https://www.galaxydigital.com/privacy-policy">Privacy Policy</a> <br /> <a target="_blank" href="mailto:ksalasramirez@uwmower.org">Contact Us</a> </div> <div class="col-xs-5 col-sm-3 text-right mt-xs"> <a href="http://www.galaxydigital.com" target="_blank"> <img src="/assets/images/logos/gc-footer-2023.png" alt="Galaxy Digital Logo" class="full-width" height="25" /> </a> </div> </div> </footer> </div> <div id="overlay" class="move"> <img src="/assets/images/loading-2.png" class="ajax-loading-overlay-icon" alt="loading"/> </div> <div id="gdpr_overlay"> <div id='cookie_consent_wrapper' aria-modal="true" role="dialog"> <div id="cookie_consent_with_pref"> <button title="Close" type="button" class="mfp-close gdpr_plus">脳</button> <div id="cookie_consent_content"> <h3 style='color: #ffffff; margin-top: 20px;'>Our websites uses cookies</h3> <p> This site uses cookies to improve your experience and analyze site traffic. We do not use cookies for advertising or marketing purposes. Read more about how we use cookies in <a href='https://www.galaxydigital.com/privacy-policy' target='_blank'>Privacy Policy</a>. By clicking accept, you consent to our use of cookies. </p> <p class="cookie_consent_state1" style="text-align: center;"> <a href='#' id="show_cookie_control">Show Cookie Preferences</a> </p> <div class="cookie_consent_state2" style="text-align: left; display: none;"> <p> <div class="form-group" style='margin-bottom: 0'> <input type="checkbox" id="cookies_system" name="cookies_system" value="1" checked disabled /> <label for="cookies_system" class="ml-sm">Necessary (Always active)</label> </div> <div class="form-group" > <input type="checkbox" class="ml-sm" id="cookies_tracking" name="cookies_tracking" value="1" checked /> <label for="cookies_tracking" class="ml-sm mb-0">Analytics</label> <br> <p class="ml"> Analytical cookies are used to understand how users interact with the website. 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