Youth in the Community Registration Form

The Youth Volunteer Form is for students looking for volunteer experiences within Sterling House, as well as students interested in our Youth in the Community Program (YIC). YIC refers middle and high school students to various volunteer experiences within Stratford and the Greater Bridgeport Area. YIC maintains information about regional agencies and shares information with students to help them find a meaningful and rewarding volunteer experience.

This form should be completed by the volunteer applicant. For students in grades 8-12.

Today's Date *
Today's Date
Name *
Date of Birth *
Date of Birth
Gender *
I Identify As...
Address *
Student Cell Phone *
Student Cell Phone
Parent Phone Number *
Parent Phone Number
Emergency Contact Phone Number *
Emergency Contact Phone Number
Availability *
Sterling House Programs that Interest You *