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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

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* 2. Last Name

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* 3. E-mail Address

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* 4. School Phone Number

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* 5. School Name or Name of Event

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* 6. Type of School

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* 7. Grade Level(s)

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* 8. STEM Event

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* 9. Event Date- Request 4 Weeks Notice

Date

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* 10. Volunteer Activity

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* 11. Description of Event and/or Requested Activity 

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* 12. Setting of Event

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* 13. Location of Event

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* 14. Volunteer Times

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* 15. Requested Number of Volunteers

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

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

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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?

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