Company/Organization Name*Contact Name* Mr.Mrs.MissMs.Dr.Prof.Rev.Mx.None Prefix First Last Contact Title*Email* Phone*Business Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code First choice for my corporate engagement day:* MM slash DD slash YYYY Second choice for my corporate engagement day:* MM slash DD slash YYYY I am interested in:* Morning Session (9:30am-11:30am) Afternoon Session (1:30pm-3:30pm) Would your group like boxed lunches?* Yes No Please note: an extra 30 minutes to an hour will be built into your schedule for lunch. If yes, how many lunches will you need?Please enter a number from 1 to 15.How many volunteers are in your group?*8 or less participants8-15 participantsOver 15 participantsWhat type of project are you interested in working on?*Depending on the current needs, there may be opportunity to work on outdoor projects which may include physical labor, or there are projects that can be done indoors requiring little or no physical labor. After you submit your form, a team member will be in touch to coordinate with you.Where is your group interested in volunteering?*NewingtonWaterford (pending availability)Westport (pending availability)Most corporate volunteer projects are based at CHS headquarters (701 Russell Road, Newington). There is occasionally an opportunity for volunteers to work at the Waterford or Westport location.I understand that, a non-refundable payment will be required to secure corporate engagement date. Event date may be changed, subject to availability.* I understand.CAPTCHA