Outreach Interest Questionnaire 2021-2022

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Please tell us what kind of outreach you may be interested in doing during your time at Caltech. We have many existing programs people may participate in, or we can begin new ones, depending on your interest and our available resources. Email Kitty Cahalan, kcahalan@caltech.edu, if you want to set up a call or meeting to discuss your outreach interests.

Name *

Email address *

I would like to receive the monthly CTLO Educational Outreach "Opportunity Alerts" newsletter (those who answer "yes" will receive a monthly email listing the latest outreach opportunities) *

Yes

I am a/an *

Undergrad

Graduate student

Postdoc

Visiting Scholar

Staff Scientist

Staff member

Faculty

Other:

Division/Option and name of lab's principal investigator, or, if you are an undergrad, your major or intended major *

The age group I'm interested in working with is (check all that apply) *

Preschool/under 5 years of age

Kinder-2nd grade (5-8 years old)

3rd-5th grade (8-11 years old)

6th-8th grade (11-14 years old)

9-12th grade (14-18 years old)

Community College (18-20 years old)

University/Undergrad (18+)

K-12 Teachers

Other:

Required

The categories of outreach I'm interested in are (check all that apply) *

Formal: Classroom teaching with an extended (over a semester or school year) relationship with students/schools

Formal: Classroom lectures on specific STEM topics at different schools or locations

Formal: Working with K-12 teachers on development of curriculum or skillsets

Informal: Science demonstrations to a class or group

Informal: Science demonstration tables at public or school events ("Science Nights" or expos)

Campus experiences: Hosting on-campus tours in my lab or department

Campus experiences: Hosting hands-on or experiential events or activities

Career talks (explaining to K-12 students what a career in your field looks like)

Mentoring a high school student or high school club research project (summer or school year)

Tutoring

Other:

Required

I have a particular outreach interest (check all that apply)

I am interested in doing outreach that promotes my field of research or a particular scholarly interest

I am interested in doing outreach to particular identity groups (racial/ethnic background, LGBTQ, women, etc.)

I am interested in doing outreach to address particular problems in society (climate change, inequity, etc.)

I am interested in doing outreach that involves particular kinds of activities (robotics competitions, maker clubs, Hackathons, etc.)

If you clicked any boxes in the previous question, please tell us a little more about your interests.

I would be more likely to do outreach work if (check all that apply)

I could receive course credit for outreach work

I could receive a certificate for outreach work that would be indicated on my transcript

I could receive a stipend for outreach work

Other:

What are reasons that would prevent you from doing outreach work? (Check all that apply)

I have coursework, teaching assistant work or research commitments that take up most of my time

I have other extracurricular activities or family commitments that take up most of my free time

I don't know if my advisor or supervisor would support my doing outreach work in addition to my research commitments

I am not interested in any of the existing outreach programs that I know about

I am not sure if I would be good at doing outreach with certain age groups

I plan to do outreach at a later time but currently do not have time

Other:

Please share anything else you are interested in doing or would like to know about our programs

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