Produce Garden Maintenance Program

In an effort to further promote healthy eating and physical activity among Stratford youth, the Stratford Health Department received a grant from the Stratford Rotary Club to support on-site produce gardens at nine center-based childcare facilities. The Stratford Health Department has partnered with Sterling House to offer three motivated individuals an opportunity to assist with the garden-bed construction and maintenance at the gardens during spring/summer 2019.

To be eligible for this position, applicants must be able to commit to a minimum of 30 hours, work independently, lift a minimum of 20 pounds, and have the ability to get to the garden sites. Volunteers are eligible to receive a stipend of up to $300.  Please complete this volunteer form by April 30, 2019.


Name *
Name
Date of Birth *
Date of Birth
Address *
Address
Applicant Phone *
Applicant Phone
Parent/Guardian Phone *
Parent/Guardian Phone
Emergency Contact Information
Emergency Contact Name *
Emergency Contact Name
Emergency Contact Phone *
Emergency Contact Phone
Education
Reference (Non-Family Member)
Reference Name *
Reference Name
Volunteer Code of Conduct
Sterling House Community Center believes that volunteers play a very important part in its mission. Your volunteer work assists us with many programs and we rely on your support. We expect all volunteers to follow the following basic policies: Weapons of any kind are not permitted and fighting is strictly prohibited as well as profanity and racial/ethnic slurs. No smoking, alcoholic beverages or drugs are allowed on SHCC grounds. All volunteers must check in/out at the office. If I am unable to volunteer or will be late, I will call the main office as soon as possible to notify my supervisor.
Applicant Signature, showing that you have read the code of conduct and will abide by it. *
Applicant Signature, showing that you have read the code of conduct and will abide by it.
If you are under 18 years old, please have your Parent/Guardian write their name *
If you are under 18 years old, please have your Parent/Guardian write their name
If you are over 18 years old, please write N/A in both the first and last name boxes.
Today's Date *
Today's Date
Photo Release
At times photos are taken of various activities to use in our newsletter and other publicity. If you are under 18 years old, please have your parent/guardian sign below to give permission to use photos of you for these purposes.
Applicant Signature *
Applicant Signature
Parent/Guardian Signature *
Parent/Guardian Signature
If you are over 18 years old, please write N/A in both the first and last name boxes.