Community Partnership Registration
Thank you for forming a community connection with Newtown High School. We appreciate your generosity. We are interested in making partnerships that suit YOU best. If you would kindly fill out the form below and submit it, we will contact you shortly.
Last Name:*
First Name:
E-Mail:*
Company|Institution:
Title|Position:
Work
Address:
Home
Address:
City
City
State
State
Zip
Zip
Work Phone:
Home Phone:
Work Fax:
Career field:
Your area of expertise.
Duties:
Brief description of duties/responsibilities and any other information you feel would be beneficial.
Background:
What college and/or training program(s) have you attended?
I prefer to be contacted at:
Select one:
Work
Home
Either
Best time (if phone):
Select one:
Phone
Fax
e-mail
anytime
7 a.m.
8 a.m.
9 a.m.
10 a.m.
11 a.m.
12 p.m.
1 p.m.
2 p.m.
3 p.m.
4 p.m.
5 p.m.
6 p.m.
7 p.m.
8 p.m.
9 p.m.
Publication:
Are you willing to have this information published in a booklet distributed to seniors?
Yes
No
(c) 2005, Frank LaBanca
Newtown High School
12 Berkshire Road
Sandy Hook, CT 06482
(203) 426-7646 fax (203) 426-6573