Office of Civic Engagement Interest Form: Community Partner Form

For external organizations seeking to partner with the University of Bridgeport and the Office of Civic Engagement

Please complete this form with your contact information and a description of your partnership or volunteer needs. The Office of Civic Engagement will reach out to you once your request has been reviewed.

Name(Required)

First Last

Title

Organization Name(Required)

Phone(Required)

Email(Required)

Partnership Type(Required)

Student volunteer request

Community work-study student request

Classroom/service learning project

Event sponsorships

Faculty or staff expertise volunteer request

Other collaboration

(please check all that apply)

Please provide as much detail as possible regarding your resource or support request.(Required)

(If possible, please include: dates, hours, number of volunteers, description of tasks, etc.) (Required)