Stewardship Program Application

ApplicationS submitted by Friday, September 27th will be given priority.

Name *
Name
Home Address *
Home Address
Home Phone *
Home Phone
If you don't have one, put zeros in.
Cell Phone *
Cell Phone
If you don't have one, put zeros in.
How did you find out about this application? A teacher, a friend, guidance counselor, newspaper, Facebook, email list, other?
Example: Spanish club on Tuesdays from 3 pm to 4 pm.
How concerned are you about the physical environment in Hartford? *
Provide an example of a project related to improving Hartford's physical environment that you would like to work on? *