Become a Science Coach Mentor Volunteer

Please complete this form if you would like to volunteer to be a Science Coach mentor for 6th – 12th grade students working within your field of expertise.  Filling out this form does not obligate you to help a student. Most mentoring is done virtually via email or virtual meetings and takes less than an hour a month and always includes the teacher in the communications.  Science Coach has insurance that covers the interactions.  

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Email *
First and Last Name *
Title
Company/Organization
Phone Number *
Phone Number Type *
Preferred Email Address To Be Provided To The Teacher And Student. *
Preferred Email Type *
General Category of Subject Matter Expertise
(Check all that apply)
 *
Required
Type of mentorship you would like to provide
(Check all that apply)
 *
Required
Do you currently work in a lab? *
What is your availability?
(Check all that apply)
 *
Required
If you choose to work with a student in person with another adult present, are you willing to allow a background check through IntelliCorp (via separate email process)?
 *
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