Registration Form: 2024-2025 STEM Mentor Volunteer
Thank you for your interest in being a STEM Mentor for the 2024-2025 school year! Please fill out the information below and we will reach out to you with next steps. This form simply shares your interest with us. It does not fully commit you to the program. Final decisions and placements will be made in August. In the meantime, If you have any questions, please email: danielle@techpointyouth.org.
Email
*
example@example.com
Name
*
First Name
Last Name
Company Name/Organization:
*
Role, Job Title, or Occupation:
*
Years of experience working in your field:
*
Years of experience working in your field:
*
Have you volunteered with TechPoint Foundation for Youth in a role other than STEM Mentor?
*
Yes
No
Unsure
What other role(s) did you fill? Check all that apply.
*
State Championship
Girl Empowered Event
Hour of Code
Robot event
Classroom speaker
Xplore
Other
If you answered Other to, "What other role(s) did you fill?" please specify.
*
What grade level are you most comfortable working with. Check all that apply.
*
Early Elementary School: K-2
Elementary School: 3-5
Middle School: 6-8
High School: 9-12
Which volunteer opportunity for STEM Mentors most interests you?
*
Ongoing: STEM Mentors- During School
Ongoing: STEM Mentors- After School Robotics
Ongoing: STEM Mentors- Xplore Mentor
Unsure
Are you currently a STEM Mentor or have you volunteered as a STEM Mentor in the past?
*
Yes
No
Unsure
How many years have you been a STEM Mentor?
*
How many years have you been a STEM Mentor?
*
What school(s) did you volunteer with?
*
Which volunteer opportunity did you complete?
*
Ongoing: STEM Mentors- During School
Ongoing: STEM Mentors- After School Robotics
Ongoing: STEM Mentor- Xplore Mentor
One-time volunteer
Unsure
Other
If you answered Other to, "Which volunteer opportunity did you complete?" please specify.
*
How did you hear about STEM Mentors?
*
Current STEM Mentor volunteer
Previous STEM Mentor volunteer
Company lunch and learn
Indiana Robotics State Championship
Other
If you answered Other to, "How did you hear about STEM Mentors?" please specify.
*
What county do you live in?
*
Please Select
Adams
Allen
Bartholomew
Benton
Blackford
Boone
Brown
Carroll
Cass
Clark
Clay
Clinton
Crawford
Daviess
Dearborn
Decatur
DeKalb
Delaware
Dubois
Elkhart
Fayette
Floyd
Fountain
Franklin
Fulton
Gibson
Grant
Greene
Hamilton
Hancock
Harrison
Hendricks
Henry
Howard
Huntington
Jackson
Jasper
Jay
Jefferson
Jennings
Johnson
Knox
Kosciusko
LaGrange
Lake
LaPorte
Lawrence
Madison
Marion
Marshall
Martin
Miami
Monroe
Montgomery
Morgan
Newton
Noble
Ohio
Orange
Owen
Parke
Perry
Pike
Porter
Posey
Pulaski
Putnam
Randolph
Ripley
Rush
Scott
Shelby
Spencer
St. Joseph
Starke
Steuben
Sullivan
Switzerland
Tippecanoe
Tipton
Union
Vanderburgh
Vermillion
Vigo
Wabash
Warren
Warrick
Washington
Wayne
Wells
White
Whitley
What county do you live in?
*
What county do you work in?
*
Please Select
Adams
Allen
Bartholomew
Benton
Blackford
Boone
Brown
Carroll
Cass
Clark
Clay
Clinton
Crawford
Daviess
Dearborn
Decatur
DeKalb
Delaware
Dubois
Elkhart
Fayette
Floyd
Fountain
Franklin
Fulton
Gibson
Grant
Greene
Hamilton
Hancock
Harrison
Hendricks
Henry
Howard
Huntington
Jackson
Jasper
Jay
Jefferson
Jennings
Johnson
Knox
Kosciusko
LaGrange
Lake
LaPorte
Lawrence
Madison
Marion
Marshall
Martin
Miami
Monroe
Montgomery
Morgan
Newton
Noble
Ohio
Orange
Owen
Parke
Perry
Pike
Porter
Posey
Pulaski
Putnam
Randolph
Ripley
Rush
Scott
Shelby
Spencer
St. Joseph
Starke
Steuben
Sullivan
Switzerland
Tippecanoe
Tipton
Union
Vanderburgh
Vermillion
Vigo
Wabash
Warren
Warrick
Washington
Wayne
Wells
White
Whitley
What county do you work in?
*
T-shirt size?
*
Please Select
XS
S
M
L
XL
XXL
XXXL
Questions? Comments?
We want to know!
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