GoEngage Order Form
(Est. completion time: 5-15 minutes)
Thank you for choosing GoEngage!
We’re excited to work with you. Please complete the form below to help us get started on the right track together. If you have any questions, feel free to contact us at
[email protected] or
(202) 935-0831.Did you already fill out this information in a PDF or paper copy? Use this link instead Section 1: Database Setup
Select the type of database you want to be set up for your agency:
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Note: We will not import any attachments or documents.
Select the type of database you want to be set up for your agency:
Section 2: Onboarding Timeline
The two most common timelines for GoEngage Onboarding are:
1) Phased Rollout: Configuration Course -> Virtual Application Process Training (3h) -> Enter applications in GoEngage -> Essentials Data Transfer (Optional) -> All Other Training
2) All-At-Once Rollout: Essentials/Complex Data Transfer (Optional) -> Configuration Course -> All Training
When do you plan to start your Configuration Course?
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The Configuration Course consists of 3 sittings (60-90 minutes each) of videos and checklists that hand-hold you through the system setup process.
You will need to complete this Configuration Course prior to training.
When would you like to have your Orientation Training?
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A standard Orientation Training is:
-> Head Start On-Site: 3 days in a row, 6 hours each (Additional fees for trainer travel)
-> Head Start Virtual: 18 hours, flexible scheduling
-> CAP On-Site: 2 days in a row, 6 hours each (Additional trees for trainer travel)
-> CAP Virtual: 12 hours, flexible scheduling
If you're doing a Phased Rollout, please also let us know when you'd like to have your Virtual Application Process Training (3h).
We will do our best to accommodate your requested timeframe (and are able to do so 80% of the time), but the final date is subject to Trainer availability. The sooner you submit this Order Form, the better!
When are you planning to start using GoEngage?
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Section 3: Support Contacts
Your agency is entitled to unlimited support via phone or email through two (2) designated Support Points of Contact (POCs), who will act on behalf of regular users when engaging the Support Team.
Limiting support requests to two designated Points of Contact (POCs) ensures centralized, consistent communication between your agency and our Support Team. This helps ensure all your users receive the same information about how to use the system, avoiding duplicated or conflicting requests.
Email Address (Support #1)
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Phone Number (Support #1)
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Email Address (Support #2)
Phone Number (Support #2)
Additional Support POCs may be added for an annual fee of $150 per person.
If you would like to add additional Support POCs, please provide their name(s), email address(es), phone number(s), and job title(s) here:
Section 4: Billing Contacts
Your Annual Subscription begins on the day your database is ready for use. It will be valid for 12 months and will automatically renew on the same date every year. Invoices are generated annually and sent to your Billing Contacts 45 days prior to the renewal date.
Email Address (Billing #1)
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Phone Number (Billing #1)
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Email Address (Billing #2)
Phone Number (Billing #2)
In the event of late payment, your database will be automatically deactivated, resulting in loss of access to the application until full payment is received. A reactivation fee of $225 will apply if the account is deactivated due to late payment.
I understand that a reactivation fee of $225 will apply if my account is deactivated due to late payment.
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A. Upload your signed Quote here:
After we receive the signed agreement, your Onboarding Concierge will contact you within 2 business days to introduce themselves, learn more about your agency, and coordinate scheduling for Steps 1-3 of the Onboarding Timeline:
Get StartedThank you for completing the Order Form!
We look forward to supporting your agency and helping you make the most of GoEngage. If you have any questions, please don’t hesitate to contact us at [email protected] or (202) 935-0831. Welcome aboard!
