Berkeley Lab Education Volunteer Interest Survey

Question Title

* 1. First Name

Question Title

* 2. Last Name

Question Title

* 3. Job Title

Question Title

* 4. Email

Question Title

* 5. Division

AFRD

ALS

Chem Sciences

CRD

Computing Sciences

Directorate

ESD

ENGR

EETD

EHS

Facilities

Genomics

LSD

MSD

NERSC

NSD

OCFO

OLC

OPS

PBD

Physics

Sci Networking

Tech Transfer

Other (please specify)

Question Title

* 6. Please indicate ALL LBNL educational programs or outreach you HAVE VOLUNTEERED WITH IN THE PAST (you may check more than one):

WD&E program: BLAZES (5th grade program)

WD&E program: BLISS training workshop (learning how to lead kit activities)

WD&E program: BLISS outreach (taking kit to a school)

WD&E program: Daughters and Sons to Work Day (child participated)

WD&E program: Daughters and Sons to Work Day (volunteer)

WD&E program: Science Bowl (volunteer)

Lead middle school science outreach (WD&E program: BLAST)

WD&E program: Berkeley Lab Educational Visit / BLEV (provided lab tour)

WD&E program: Berkeley Lab Educational Visit / BLEV (assisted with hands-on activities)

Mentor middle school students (After Math program)

Mentor high school student intern (WD&Eprogram: HSSRPP or BLIPS)

Mentor high school student intern (iCLEM, Introductory College Level Experience in Microbiology program)

Assist with high school team for US First Robotics

Assist with a high school team for Technovation Challenge

Mentor high school student (other)

Mentor community college student intern (WD&E program: CCI)

Mentor community college student (other)

Mentor undergraduate intern (WD&E program: SULI)

Mentor undergraduate intern (WD&E program: BLUR)

Mentor undergraduate intern (Computing Sciences Summer Student Program)

Mentor undergraduate intern (other)

Mentor undergraduate preservice teacher intern (WD&E program: PST, STAR, or CalTeach)

Mentor post-baccalaureate student (WD&E program: SULI or VFP)

Mentor post-baccalaureate student (other)

Mentor faculty member (WD&E program: FaST or VFP)

Mentor teacher intern (WD&E program: ACTS or IISME)

Develop/teach Cool Your School

Volunteer with JGI outreach

Participate with Hands-On Universe

Participate with Global Teacher Academy / QuarkNet

Participate with CARE: California Alliance for Radiotracer Education

Present at Nano*High

Present at Expanding Your Horizons

Host a Grad Student Research Assistant

Supervise a post-doc

Design/teach high school course

Design/lead high school workshop

Design/teach community college course

Design/lead community college workshop

Design/teach college/university course

Design/lead college/university workshop

Present at local career fair

Judge at a science fair or competition

Represent the Lab at a conference booth

Volunteer at Lab Open House

Volunteer at Solano Stroll

Volunteer at Cal Day

East Bay Green Corridor

Nuclear Science Scouting Day

MESA conference or mentoring

Develop/ lead programs for Techbridge

Develop/ lead programs for 4-H

Develop/ lead programs for youth groups (other)

Led ALS tour

Led NERSC tour

Led Molecular Foundry tour

Led NCEM tour

Led tour of your research lab or facility

Led general Lab Tour for public

None

Other (please specify)

Question Title

* 7. Please indicate ALL LBNL educational programs or outreach educational programs or outreach opportunities that you WOULD LIKE TO KNOW MORE ABOUT (you may check more than one):

WD&E program: BLAZES (5th grade program)

WD&E program: BLISS training workshop (learning how to lead kit activities)

WD&E program: BLISS outreach (taking kit to a school)

WD&E program: Daughters and Sons to Work Day (child participate)

WD&E program: Daughters and Sons to Work Day (volunteer)

WD&E program: Science Bowl (volunteer)

Lead middle school science outreach

WD&E program: Berkeley Lab Educational Visit / BLEV (lab tour)

WD&E program: Berkeley Lab Educational Visit / BLEV (assist with hands-on activities)

Mentor middle school students

Mentor high school student intern

Assist with high school team for US First Robotics

Assist with a high school team for Technovation Challenge

Mentor community college student intern

Mentor undergraduate intern

Mentor post-baccalaureate student

Mentor faculty member

Mentor teacher intern

Teach Cool Your School

Volunteer with JGI outreach

Participate with Hands-On Universe

Participate with Global Teacher Academy / QuarkNet

Participate with CARE: California Alliance for Radiotracer Education

Present at Nano*High

Present at Expanding Your Horizons

Design/teach high school course or workshop

Design/teach community college course or workshop

Design/teach college/university course or workshop

Present at local career fair

Judge at a science fair or competition

Represent the Lab at a conference booth

Volunteer at Lab Open House

Volunteer at Solano Stroll

Volunteer at Cal Day

East Bay Green Corridor

Nuclear Science Scouting Day

MESA conference or mentoring

Develop/ lead programs for Techbridge, 4-H, or other youth groups

Lead research lab or facility tour

Lead general Lab tour for public

None

Other (please specify)

Question Title

* 8. In a typical month, approximately how many hours do you volunteer at Berkeley Lab?

Question Title

* 9. About how long have you been volunteering for Berkeley Lab?

Years

Months

Question Title

* 10. How likely are you to continue volunteering at Berkeley Lab?

Extremely likely

Very likely

Moderately likely

Slightly likely

Not at all likely

If not at all likely, please explain:

Question Title

* 11. How likely are you to recommend Berkeley Lab to others as a place to volunteer?

Extremely likely

Very likely

Moderately likely

Slightly likely

Not at all likely

If not at all likely, please explain:

------------------------------------------------------------------------------------------------------------------------------------

Thank you so much for your responses.

If you have any questions, please contact WD&E at ext. 5511 or education@lbl.gov.