Mentor Sign Up
The NorCal STEM Education Foundation thanks you for agreeing to serve as a volunteer mentor for 5th-11th grade students in the greater Northern California region. In order to properly match your skills to student needs, please complete this form as thoroughly as possible! Your personal information will not be shared beyond the purposes of this registration and program.
Business Phone Number
Personal Phone Number
Street Address Line 2
State / Province
Postal / Zip Code
What is the best way & time to contact you?
Your closest metropolitan area
Land Park/Curtis Park
I understand that I am committing to one hour per week for volunteer mentoring
I am willing to undergo a background screening and fingerprinting as a volunteer mentor.
Current or most recent Employer
Current or most recent job title
Field of Academic Degree
Degree obtained from, and year:
Please check off all categories that you are comfortable discussing with your mentees:
Behavioral and Social Sciences
Cellular & Molecular Biology
Earth & Planetary Science
Engineering: Electrical & Mechanical
Engineering: Materials & Bioengineering
Energy & Transportation
Medicine & Health Science
Physics & Astronomy
List any laboratory equipment or lab time that you can provide to assist the student researchers in their experimentation.
Please use this space for additional comments about your professional background. This information will assist us when making a placement decision.
Upload a photo: Please upload a photo for your profile.
Resume Upload: Please upload your professional resume, your resume will be kept on file as part of your profile.
Upload a File
Policies have been established to provide the best possible mentoring experience for students, mentors, parents, sponsors and others involved. Note: You may be subject to a background check as well as fingerprinting in order to comply with campus requirements.
Are you currently enrolled in any Child Protection Program?
Do you have any prior arrests or convictions on record?
Are you familiar with the Intel International Science and Engineering Fair Rules and Guidelines? (Students must adhere to these rules to participate in Science Fairs. See http://student.societyforscience.org/intel-isef for Rules, Forms and Guidelines.)
Do you participate in any other area mentoring programs or volunteer time within a classroom?
If so, what programs?
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