BrainyBuilders Camp Faciliator Form

BrainyBuilders Camp Facilitator & Volunteer Form
Are you passionate about science, technology, engineering, or math (STEM) and believe in the transformative power of education? If so, we warmly invite you to join our nonprofit organization dedicated to advancing STEM education within our community!

You'll play a vital role in inspiring the next generation of scientists, engineers, and innovators through engaging workshops, mentorship programs, and exciting educational events.

Opportunities include a range of tasks, including facilitating lessons, setting up and breaking down activities, assisting with teaching materials, serving meals, or checking in/checking out students

Our camps operate on Saturdays 9am-12:00pm. During the summer session (June-August), we operate Tuesday-Friday, 9am-2pm

You MUST be at least 15 years of age and adults 18 and up will be required to go through a backgound check. Youth 15-17 must have a workers permit.
Are you willing to go through a background check? Youth ages 15-17 can skip this question. If you are under 18, this form needs to be completed with an adult.
Name

PrefixFirst NameLast Name
Birth Date

MonthDayYear
Email
example@example.com
Phone Number
Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Complete this section if under 18

Parent First NameParent Last Name
Parent Phone
Please enter a valid phone number.Format: (000) 000-0000.
Parent email
example@example.com
Educational Background
College or High School (if currently a student)
Which best describes you?
Individuals who have a passion for STEM and/or working with children are highly encouraged to apply. Please describe your experience working with children, internships, volunteering, leading a small group, teaching any area of STEM, training, or classes taken in any area of STEM. Pease also list any knowledge of programming/coding, ex. Java, Python, C+, C#; Robotics using Micro:Bit, Arduino, Strawberry Pi., leading or participating in robotics competition teams (i.e., Vex/First Robotics, etc.), gaming, drones, engineering, or adult instruction
Select your available days to work. Currently, programs operate Saturdays.
Reference/Recommendation
Please list in the following space below the name and contact information (email or phone) of 1 person (teacher, co-worker, former employer, etc.) who is familiar with your skills or work ethic; and who we can contact.
Date

MonthDayYear
Date
Signature
Should be Empty:

BrainyBuilders Camp Facilitator & Volunteer Form

Educational Background

Reference/Recommendation