WEI/GLBRC Outreach Volunteer Tracker

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Fill out this form to log your outreach volunteer hours with WEI or GLBRC. Keeping track of this data helps us see if volunteerism is increasing within WEI and GLBRC, and helps you when you want to say, "I've interacted with ___ number of students, and participated in ____ events, for a total of _____ hours" in your next job or grant application.

**If Allison coordinated your outreach, she's already logged it here. Check with her if you're not sure. (agbender@wisc.edu, 608-890-0946)**

Email *

First Name

Last Name

Are you a part of GLBRC?

Yes

Clear selection

Your Lab or Department (eg. Donohue Lab, Purchasing Department)

Position (Grad student, Faculty, etc)

Volunteering Location (city, state or online)

Volunteering Date

YYYY

Volunteering Activity - what did you do?

Spoke at a WEI/GLBRC sponsored public event (FIEF, etc)

Developed an exploration station

Science Expeditions

KidWind

Family Science Event at a School or Community Center

Tour at WEI

Family Gardening Day

Visited a classroom

Skype a Scientist

Helped out with a field trip

Other:

Total Hours Spent Volunteering

Other Info - Give more detail about what you were doing. (What school were you at, what group came to tour your lab, is this a repeating event, etc)

Send me a copy of my responses.

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