Community Engagement

Community Connections

Please take a moment to fill out this form regarding your civic engagement memberships and activities. Your input will help strengthen community connections among Brookdalians and showcase their participation, honors, and contributions within the community.

Name(Required)

First Last

Email(Required)

Do you volunteer or participate in any community organizations?(Required)

Type of Organization(Required)

Other: (Specify)

Organization Name(s):

Website(s) of Organization

Your Role/Position in the Organization

Years of Involvement:

Organization's Mission Statement & Services Provided

Community Connections

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