Volunteer Form - Fall 2022 - Engineering Outreach

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Thank you for volunteering with Engineering Outreach! We rely on volunteers like you to reach over 24 000 students in a year!

Programs will be in person unless marked Virtual and all times are eastern time (ET).

Find more information about Engineering Outreach here: engineering.ontariotechu.ca/outreach

For general questions please email engineeringoutreach@ontariotechu.ca

Email *

First Name and Last Name *

Preferred Email for Communication *

Current Grade Level (2022-2023 Academic Year) *

Grade 9

Grade 10

Grade 11

Grade 12

Demographic Questions

We are asking these questions as we have specific programs tailored toward members of certain groups who are under represented in STEM. We try to provide role model in these programs to help youth see themselves in STEM program or career in the future.

If you do not feel comfortable answering these questions, please indicate prefer not to say.

How do you identify?
*

Woman

Man

Non-Binary

Prefer Not to Say

Other:

Do you identify as Indigenous?
*

Yes

Prefer Not to Say

How would you best describe yourself? *

Black (African, Afro-Caribbean, African-Canadian descent)

East Asian (Chinese, Korean, Japanese, Taiwanese descent)

Latino (Latin American, Hispanic descent)

Middle Eastern (Arab, Persian, West Asian descent, e.g. Afghan, Egyptian, Iranian, etc.)

South Asian (South Asian descent, e.g. East Indian, Pakistani, Sri Lankan, Indo-Caribbean, etc.)

Southeast Asian (Filipino, Vietnamese, Cambodian, Thai, other Southeast Asian descent)

White (European descent)

Prefer Not to Say

Other:

Required

Emergency Contact

If something happens to you while volunteering with us, who should we contact?

This is usually a parent/guardian

Emergency Contact Name *

Emergency Contact Relationship *

How is this person related to you? (Ex. Mother)

Emergency Contact Phone Number *

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