Brock Cares: Individual Registration

Student Community Outreach

Brock Cares: Individual Registration

Participant's Information

Please fill out the information below. We will send you an email to the email address you provide in the form below to work with you to coordinate your involvement in Brock Cares Day of Service 2014.

Dietary Considerations
Accessibility Needs or Special Accommodations
IELP (ESL Students)

Please respond to the next question only if you are an ESL Student.

T-Shirt Size
Project Site Selection

Please select your first, second and third choices for the project sites where you would like to volunteer. More details about our project sites for Brock Cares Day of Service 2013 can be found at We will do our best to accommodate your request.