*1.Teacher Information(Required.)

Name:

School email address:

School District:

School Name:

School Address:

School Phone Number:

*2.This STEM Project Mentoring request must come from an employee within the school/district.
Please let us know your position at the school.(Required.)

*3.What kind of STEM Project Mentoring help are you looking for?(Required.)

Are you requesting mentoring on a project with an individual student or small group?

Are you requesting mentoring on a project with the whole class?

Are you requesting mentoring on a project with an after-school club?

Are you requesting mentoring for a student or small group that needs help with study habits and academic goal setting?

Other (please specify)

*4.Student Information:
If requesting mentoring for a specific subject for a student or small group.(Required.)

First Name(s) Only:

Grade Level:

Project Title:

5.Student Information:
If requesting mentoring for a specific project with a whole class or after-school group.

Grade Level:

Project Title:

*6.Preferred Days and Times for Mentoring(Required.)

7.How long do you want each session to be?

8.How many visits would you like to schedule?
Will mentoring be for the month? For the quarter? Other?

9.Project Type
Please specify the focus of the mentoring request. For example, Science Fair Project, Engineering Design, Robotics project, etc.

*10.Mentoring Goals
Please provide a brief description of the student's needs and any specific goals or topics that should be focused on.(Required.)

11.Additional Information
Is there any other information that would be helpful for the mentor to know? For example learning style, accommodations, previous experience with projects, or any specific challenges.

12.Your volunteer will be a WPAFB employee, including federal civilians, contractors, and military personnel and must undergo a background check and fingerprinting typically initiated upon hiring.
Are there any requirements from your school or district that a volunteer must complete before tutoring begins?

13.Please acknowledge your awareness of the following:

STEM Project Mentoring happens on school sites only.

STEM Project Mentoring is an in-person resource.

STEM Project Mentoring can be scheduled during the school day or after school.

A staff member will need to be present and/or available at all times.

STEM Project Mentoring must take place in an open space, or classroom, with doors continuously open.

Once your request is submitted, you will be notified it has been received, and it will be shared with our volunteers.

Once paired, teachers and volunteers will be able to connect directly with each other.
The Project Manager needs to be copied on all email communications.

14.Do you need this request filled by a certain date?
Should I leave the request open until it is filled?

15.Please add additional questions.

Send me a copy of my responses via email