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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 sales@GoEngage.app 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:

Note: We will not import any attachments or documents.
A
B

Section 2: Implementation Timeline

The two most common timelines for GoEngage Onboarding are:
1) Phased Rollout: Configuration Sessions -> 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 Sessions -> All Training

What to Expect

Your implementation will begin with a Kickoff Meeting with your assigned Success Advisor.

After the kickoff, your agency will complete 4 live Configuration Sessions with your Success Advisor. During these sessions, you will configure the system together based on your agency’s programs, workflows, and setup decisions:

1. Agency and Staff Configuration

2. Application Configuration

3. Attendance and Health Configuration

4. Nutrition, Education, and Family Services Configuration

Once configuration is complete, your agency will complete Orientation Training for staff:

→ Head Start Virtual: 18 hours, typically broken across multiple weeks → Head Start On-Site: 3 consecutive days, 6 hours each → CAP Virtual: 12 hours, typically broken across multiple weeks → CAP On-Site: 2 consecutive days, 6 hours each

Additional fees apply for trainer travel for on-site training.

Tell us about your ideal implementation timeline.*

Include any important target dates, deadlines, preferred training timeframe, and when you expect staff to begin entering data in GoEngage.
* Final dates are subject to Success Advisor and Trainer availability, but the more detail you provide, the better we can help build a realistic timeline.

Why did you decide to switch from your previous solution?

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.

Support POC #1

Full Name (Support #1)

Email Address (Support #1)

Phone Number (Support #1)

Job Title (Support #1)

Support POC #2

Full Name (Support #2)

Email Address (Support #2)

Phone Number (Support #2)

Job Title (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.

Billing POC #1

Full Name (Billing #1)

Email Address (Billing #1)

Phone Number (Billing #1)

Job Title (Billing #1)

Billing POC #2

Full Name (Billing #2)

Email Address (Billing #2)

Phone Number (Billing #2)

Job Title (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.

Signature

Section 5: Paperwork

A. Upload your signed Quote here:

B. Upload your signed Hosting Agreement here:

C. Upload your Tax Exemption Certificate here:

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Section 5: Next Steps

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 Started

Thank 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 sales@GoEngage.app or (202) 935-0831. Welcome aboard!