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Volunteer application form
Prospective Volunteers or Mentors to fill out this form prior to participating in any activities related to Lauriann's STEM Club.
* Indicates required question
Email
*
Your email
Name
*
First and Last name
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Email
*
Your answer
Address
Your answer
Town/City
*
Your answer
Phone number
*
Your answer
Which position(s) are you interested in?
*
STEM Ambassador (i.e supporting workshops, events, career talks, career panels
Mentor (New mentoring programme Launch in October 2024)
Schools outreach Lead (School Outreach programme)
Schools outreach Coordinator (School Outreach progamme)
Board Member/Trustee
Other:
Required
Do you have any previous Volunteering/mentoring/educational experience?
*
No experience is Required for Volunteer/mentoring Roles.
Yes
No
If Ticked Yes, please explain.
Your answer
What is your Education/employment status?
*
Student
Employed
Unemployed
How did you hear about Lauriann's STEM Club?
*
Choose
Word of Mouth
Social Media
Search Engine
Other
If you answered "Other" for the previous question please confirm where you heard about Lauriann's STEM Club?
Your answer
If you are a student what are you currently studying and at what level?
If you are a university student, what is university course are you studying towards. Please tell us course and year of study and University you are studying at.
Your answer
If you are employed what is your occupation and company you wok for?
Your answer
If you are employed, do you have educational qualifications and if so, at what level?
Your answer
How would you describe your personality in three words?
*
Your answer
Do you have any additional experience, skills or hobbies which you think would make a positive contribution to your role? (Optional)
Your answer
Gender
*
Male
Female
Prefer not to say
Other:
Do you consider yourself disabled?
*
Yes
No
If you answered Yes to the previous question, please provide details on any support needs / requirements:
Your answer
What is your ethnicity?
*
Your answer
Send me a copy of my responses.
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