Vols4STEM Stakeholders and Volunteers

A simplified registration is available at http://vols4stem.org/Volunteer.html .
This registration requests more specific information to allow Vols4STEM Steering Committee and Educators to better understand the offerings and talents of our volunteers.

* Required

Referred to by whom?

Organization(s)*, Group(s)* and Club(s)* you support

Position(s) held within each Oranization This includes Past, Present and Current (marked by an *)

Websites_4_Orgs Websites for Organization(s) listed above

Mr./Ms./Miss

Middle Initial

Last Name *

Employer * If self-employed, indicate your company, please.)

Title_or_Position

BusPhone We need at least one phone number from you, please.

HomePhone

CellPhone

Address1

Address2 (If a 2nd line is needed)

City

State

Zip

Vol4 (i.e., I am willing to Volunteer for…) Please list (1) areas of expertise, and (2) schools where you could support Vols4STEM-related events, activities, demonstrations, training, etc.

First Name *

Preferred E-mail Address *

Comments Please include current/past volunteer responsibilities you particularly enjoy(ed).

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Absolutely none yet											My employer supports such participation regularly.