Create Your Signature

Please fill in your name and email and then either draw or type your signature below.

Full Legal Name

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I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.

Additional Signatures Required

Document Signers

- 1 Preparer
- 2 Appointing Authority
- 3 Michael Celio
- 4 HR Liaison
- 5 Dr. Paula Russell

Please provide accurate information below to ensure the delivery of the signed copies of the document.

Listed Signers

	Signer Details	Me?
Preparer
Appointing Authority
I'm not a signer listed above

Other Signers (The signers below will be invited to sign once the above signers have signed.)

	Michael Celio
	Dr. Paula Russell

City of Stamford

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Please provide accurate information below to ensure the delivery of the signed copies of the document.

Listed Signers

Other Signers (The signers below will be invited to sign once the above signers have signed.)

Michael Celio

Dr. Paula Russell