As a requirement of your partnership with UWSC, we need the following information as noted in your agency agreement by Friday, May 30, 2025. If you have any questions, contact us at (515) 268-5142. You must have JavaScript enabled to use this form. Agency Name Who is completing the form? Email Address Please give one specific example of each of the following to demonstrate the impact of donations. $1 per day or $365 per year provides: $.50 per day or $182.50 per year provides: $1 per week or $52 per year provides: $.50 per week or $26 per year provides: $1 per month or $12 per year provides: The above data is from what year? Please give one example of a service/program in each geographic area. This section is OPTIONAL, please provide any information you think would be beneficial as we share about your programs. Ames No. of people served by this service in Ames Ballard No. of people served by this service in Ballard Collins-Maxwell No. of people served by this service in C-M Colo-Nesco No. of people served by this service in C-N Gilbert No. of people served by this service in Gilbert Nevada No. of people served by this service in Nevada Roland No. of people served by this service in Roland Story City No. of people served by this service in Story City ISU faculty and staff No. of faculty/staff served by this service ISU students No. of students served by this service The above data is from what year? Submit Leave this field blank
