BSC Employee Community Service Day Registration

Thursday, May 20th

First Name:

Last Name:

Department:

Campus Mailing Address:

Email Address:

Immediate Supervisor:

* Please select your volunteer site choice:

Charity Guild Food Pantry in Brockton (FULL)

Veterans Hospital in Brockton

Bridgewater Elder Affairs - Various senior homes located near the College

Please check the box if you are willing to drive a BSC van to the volunteer site.

Please indicate if you have any special accommodations you may require: