Looking for STEM Experts? Classroom Demonstrations? Science Fair Judges? Mentors? Career Presentations?

Volunteer Request Form

Education Outreach Programs at the Savannah River Site invites you to complete this form to request SRS volunteers. Volunteers explain STEM concepts, conduct STEM demonstrations, mentor, judge and offer career information for teachers and students to bring science to life in K-12th grade classrooms.

Engagement with the education community is intended to spark an interest in STEM fields with emphasis on DOE mission critical skills and careers. Volunteers in the classroom partner with educators to build a pipeline of college/career ready students who graduate with the technical skills necessary to support a capable workforce.

Do NOT store PII or any other sensitive information on this system. Responses are designed to exclude PII and/or other sensitive data or that collectively contribute to a mosaic of this type of information.

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1. First Name (Required.)

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2. Last Name (Required.)

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3. E-mail Address (Required.)

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4. School Phone Number (Required.)

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5. School Name or Name of Event (Required.)

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6. Type of School (Required.)

Elementary

Middle

High

College/University

Other (please specify)

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7. Grade Level(s) (Required.)

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8. STEM Event (Required.)

Classroom Request

School Math or Science Night/Day

School Career Fair

School Science Fair

Other (please specify)

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9. Event Date- Request 4 Weeks Notice (Required.)

Date

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10. Volunteer Activity (Required.)

Hands-On STEM Demonstration

Presenter/Speaker

Judge

Mentor

Career Speaker

Other (please specify)

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11. Description of Event and/or Requested Activity

(Required.)

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12. Setting of Event (Required.)

Classroom

Gymnasium

Other (please specify)

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13. Location of Event

Address

City

State

Zip

County

Room Number, if applicable

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14. Volunteer Times

Start Time

End Time

Comments

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15. Requested Number of Volunteers (Required.)

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16. How many students will be involved/impacted? (Required.)

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17. How many educators will be involved/impacted? (Required.)

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18. If this is a community event, what is the anticipated number of attendees?

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19. If applicable, how is your event publicized?

School Website

E-Mail

Local Media

Other (please specify)

Looking for STEM Experts? Classroom Demonstrations? Science Fair Judges? Mentors? Career Presentations?

Volunteer Request Form

Question Title

* 1. First Name (Required.)

Question Title

* 2. Last Name (Required.)

Question Title

* 3. E-mail Address (Required.)

Question Title

* 4. School Phone Number (Required.)

Question Title

* 5. School Name or Name of Event (Required.)

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* 6. Type of School (Required.)

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* 7. Grade Level(s) (Required.)

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* 8. STEM Event (Required.)

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* 9. Event Date- Request 4 Weeks Notice (Required.)

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* 10. Volunteer Activity (Required.)

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* 11. Description of Event and/or Requested Activity (Required.)

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* 12. Setting of Event (Required.)

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* 13. Location of Event

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* 14. Volunteer Times

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* 15. Requested Number of Volunteers (Required.)

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* 16. How many students will be involved/impacted? (Required.)

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* 17. How many educators will be involved/impacted? (Required.)

Question Title

* 18. If this is a community event, what is the anticipated number of attendees?

Question Title

* 19. If applicable, how is your event publicized?

1. First Name (Required.)

2. Last Name (Required.)

3. E-mail Address (Required.)

4. School Phone Number (Required.)

5. School Name or Name of Event (Required.)

6. Type of School (Required.)

7. Grade Level(s) (Required.)

8. STEM Event (Required.)

9. Event Date- Request 4 Weeks Notice (Required.)

10. Volunteer Activity (Required.)

11. Description of Event and/or Requested Activity

(Required.)

12. Setting of Event (Required.)

13. Location of Event

14. Volunteer Times

15. Requested Number of Volunteers (Required.)

16. How many students will be involved/impacted? (Required.)

17. How many educators will be involved/impacted? (Required.)

18. If this is a community event, what is the anticipated number of attendees?

19. If applicable, how is your event publicized?