Copy of Fall Holyoke Bound 2018: Community Partner Registration

Last Name:

First Name:

Email:

Name of Organization:

Title:

Location:

UMASS

Smith College

Amherst College

Mount Holyoke College

Hampshire College

Five College Community Based Learning Committee

Other

None at the moment

Other (please specify)

I am presenting.

I am facilitating a workshop.

To get a better idea of how Five College students are being oriented to the City of Holyoke.

To get a better idea of the types of students are interested learning, interning or volunteering in Holyoke.

I have Five College Student(s) who are placed at my organization.

I have Five College Class(s) doing a project at my organization.

My organization is interested in engaging and partnering with the Five College Community.

Other (please specify)

Vegetarian

Vegan

Lactose Intolerant

Gluten-Free

Other

Other (please specify)