2024 Volunteer Network Interest Form Application

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Join our Volunteer Network and power the largest network of BIPOC girls and women in STEM!

Our Volunteer Network is a key component of our strategic approach to help us achieve our mission with our BIPOC girls and women, by creating a network and infrastructure to provide support and access to resources. Our network is comprised of BIPOC women and allies who are excited to make STEM accessible by passing their insights about the field.

Our volunteers often lead learning opportunities that engage our young Innovators through our programs. Volunteer opportunities range for assisting with program event setup, mentoring, or fundraising, - lift as you climb!

By completed the Volunteer Network interest form, you will be added our network database and community newsletter (The Digital Download), and receive volunteering announcements, access to networking events as well as key program updates.

Visit www.selfestem.org/events for more information about our organization and events.

Contact us at info@selfestem.org, if you have any questions.

Email *

Volunteer Information

Please complete the information below. All information will be solely used for communication and demographic purposes for Self-eSTEM only.

Detailed information will NOT be shared with any other party.

First Name *

Last Name *

Mailing Address *

City *

State *

(Please use the 2 letter abbreviation for state. Example: CA for California)

Zip Code *

Cell-Phone Number *

(Please include 10 digit numbers only, including your area code)

Birthdate (only "Month & Year" needs to be accurate) *

(Please select your correct month and year, and use the "1st" as you day by default. This is to ensure you are 18 years and older.)

YYYY

Current Position and Employer *

LinkedIn Profile Link

Other Social Media Profile Link(s)

Have you volunteered at a previous Self-eSTEM event? *

Yes

Other:

Why are you interested in volunteering with Self-eSTEM? *

(Describe briefly)

Are you interested in being an Executive or Advisory Board Member at Self-eSTEM? *

Yes

Unsure - Need more information.

Do you have any of the key experiences or skills below? *

(Check all that apply and use "Other" to add a custom experience/skill.)

Board Development

Peer to Peer Fundraising

Corporate Fundraising

Connections to Major Donors and Individual Philanthropists

Receptions or Small Parties to Fundraise

Relationships with Foundations

Connections to Political Figures

Connections to a Business Community/Corporations

Connections to Press and Media

Public Relations + Communications

Marketing

Human Resources/Personnel

501(c)3 Governance Expertise

Other:

Required

Are you interested in any of the areas of work below? *

(Check all that apply and use the "Other" option to add a custom area.)

I can assist with fundraising events.

I can assist with administration tasks (such donor management, volunteer management, editing, etc.).

I can assist with grant writing.

I can assist with social media management (including content creation, posting and digital asset creatives).

I can assist with creating and delivering STEM workshops (youth and/or adult).

I can assist with mentorship.

Other:

Required

Emergency Contact First Name *

Emergency Contact Last Name *

Emergency Contact Phone *

PLEASE CHECK TYPING

Emergency Contact Address *

Same as Mailing Address above

Other:

How did you hear about Self-eSTEM? Check all that apply. *

Previously in the program

Website

Facebook

Fundraiser Event

Instagram

Twitter

Other:

Required

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