Placement Site Interest Form

Thank you for your interest in hosting Corpsmembers with the California Conservation Corps Watershed Stewards Program in partnership with AmeriCorps (WSP).

To find addtional information about how and when to apply to host Corpsmembers, the benefits and expectations for your organization, as well as important dates and background information, please visit WSP's website.

This form will allow you to:

1) Sign up for a reminder email to be sent to you when our next application period opens

and/or

2) Request WSP staff contact you to set up an informational call or presentation/visit where we can share the benefits and expecations of hosting Corpsmembers, as well as learn more about your organziation and how we may partner in the future.

Organization or Agency Name*

Physical Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Organization Website

Contact Name*

First NameLast Name

Job Title*

Phone Number

(123) 456-7890

Email*

example@example.com

I would like to be notified when the next WSP Placement Site Application opens up:*

Yes. To note there are no marketing or other emails associated with this form. This is just for the notification and reminder email in relation to the WSP application.No. Not at this time.

Would you like to set up an informational call with one of our staff to learn more about WSP?*

Yes.No. Not at this time.

Optional : Tell us more about your organization, who else do you want us to include for a presentation invite (include name, title and email), any questions you have at this time, etc.

If you have any questions, do not hesitate to reach out at wsp.info@ccc.ca.gov

WSP Placement Site Interest Form