STEM sign up form for Shannon

Name*

First NameLast Name
REQUIRED- Please select the STEM event(s) you would like to volunteer from the list below: HIGH SCHOOL STUDENTS ARE NOT ABLE TO VOLUNTEER*
Email*
example@example.com
Home or Business Address (street, city and zip code)*
Cell Phone Number (for internal use only)*
Please enter a valid phone number.Format: (000) 000-0000.
Have you ever participated in JA programs or JA BizTown as a student?

YESNO
Company (If you do not have a company to list, please put Community Volunteer)
To help us with volunteer placement, please indicate the career field(s) that apply to you:

Arts & EntertainmentBusiness Management/Business AdministrationCommunicationsComputers & TechnologyConstruction/TradesEducationEngineeringEntrepreneurEnvironment/AgricultureFinance, Accounting, or BankingGovernmentHealth & MedicineHospitalityHuman ResourcesLaw & Public PolicyManufacturing & ProductionMilitary & Armed ForcesSales & MarketingScienceSocial SciencesOther
Please check your top 3 module choices below. We will do our best to honor one of your selections. You DO NOT need a specific background to volunteer for any of the modules. We provide training and they are easy to lead. If there is anything you would like us to know, you can add that in the Special Request section below:

BiologyChemistryEngineeringMathTradesTechnologyElectrical (York Area Schools)Manufacturing (not available at every school)
Your assignment and all information related to this event will be sent to you via email. Please be sure you are checking your email as well as your spam folder. We don't want you to miss important information. If you ever have any questions, don't hesitate to reach out.
If you need any special accommodations, please indicate below.
Should be Empty: