Community Partner Electronic Form

Are you a community organization interested in partnering with Fairfield University on a particular project, or seeking support/assistance with your ongoing work and programming? There are various ways that organizations can partner with the University. Please browse this information before completing this form as it may help you be more specific in your interest. Then come back, let us know your interest area by filling out this form, and someone will contact you to provide more information.

Please fill out the form as completely as possible. Fields marked with a * are required.

 

*Name of Organization:

Street Address:

*City:

*State:

Zip Code:

Organization URL:

*Contact Person:

Contact Phone:

Contact E-mail:

*Mission of Organization:

*Do you currently work with the university on service related projects?

If you responded yes to question Q above, please respond to the following:

*Please Describe:

*University Contact Person:

What type of relationship are you seeking with the university at this time (check all that apply)

Service Learning
Community Service/Volunteerism

Internship
Work Study

Not sure, would like to learn more about opportunities

Other: 

Description of the type of work, projects you are interested in collaborating on or seeking assistance with: