We are delighted that you are interested in participating in our Community Connections Program, wherein we will match you with one of our students.  The Community Connections Program will help ease the transition for new students to college life and a new community by:

  • Providing support and friendship to students away from home;
  • Introducing students to Presque Isle and northern Maine; and
  • Helping students access local resources such as retailers, physicians, or places of worship.

Below is a short questionnaire we are asking that you complete and return to us so that we may learn a bit about you.  Your responses will assist us in better matching you with a student.  Thank you for completing the application.

Community Connections Program Host Application

All fields required for submission. Please use N/A for not applicable

First
Last
Home Address
Home Address
Street Address
Address Line 2
City
State / Province
ZIP / Postal Code
Country
Summer Address
Summer Address
Summer Address
Street Address
Address Line 2
City
State / Province
ZIP / Postal Code
Country

Acknowledgement

By submitting this application, I agree to assume all risk of personal injury or loss, bodily injury (including death), damage to or loss of, or destruction of personal property, resulting from or arising out of my participation as a volunteer in the Community Connections Program. I also release, waive indemnify, hold harmless, and discharge the University of Maine at Presque Isle from all claims, damages, and injuries arising out of my volunteer activities. I understand that a background check may be performed on me or my significant other, at no expense to the university. I understand I will be required to supply my social security number if a background check is required.