Volunteer Request Form

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Role models matter. For young people, especially girls, students of color, and youth living in poverty, STEM role models strengthen important outcomes for kids, including increased positive attitudes about STEM, increased positive STEM identities, and increased STEM career knowledge.

Bring role models to your students! Complete the following form and help us pair you with STEM professionals ready to inspire.

Tell us what you need.

Suggested name of the event/activity

You selected other. Can you please tell us more?

Event short description (20 characters max)
Describe the general importance of the opportunity.

Make this compelling! Something that makes a STEM professional want to sign up.

Overview of Impact

Overview of your organization’s mission, information on the particular initiative the event activity is related to, and how the volunteer activity will help solve a problem or create an impact.

Share How Volunteers Can Help

Give volunteers encouragement about how they can support students with their skills, expertise, etc. Feel free to add specific requests here.

Number of volunteers needed

Hours required for volunteer opportunity

Date and time of opportunity

Confirm your time zone

Contact Information

Organization name

Point of contact name

Email

Phone number

City, State

Please Upload any training materials, background information, etc. if necessary

Do you have a waiver of liability for the volunteer to complete prior to engagement?

YesNo

Are there any additional requirements volunteers will need to complete?

(i.e. background checks, fingerprinting, etc.)

YesNo

Please include a step-by-step process of volunteer participation, if relevant at this time. e.g. Zoom log-in information, completing pre-training, complete background checks/fingerprinting, etc.

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Contact Information