Applicant Information

1. First Name*(required)
2. Last Name*(required)
3. M.I.
4. School (if applicable)
5. Company (if applicable)
6. Address*
7. City*
8. State*
9. Zip*
12. Phone*(required)
13. Email*(valid email required)
14. Gender
15. MaleFemale
16. Reason for volunteering?* (Course requirement, volunteer, or community service hours, etc.)(required)
17. Attach Resume if available

Interest

1. Which STEM (Science, Technology, Engineering, and Mathematics) topics interest you the most?
2. ScienceTechnologyEngineeringMathematicsBusiness
3. Interests? (Check all that apply)
4. Organizing Events/PlanningAdministrationWriting/ CommunicationsSTEM YES! VolunteerCommunity ServiceWorkplace Simulation VolunteerPeer MentorDigital/ Social MediaFundraisingSocial Media OutreachGuest SpeakerOther
5. Hours available to volunteer. Please check off the day of the week and indicate times.
6. Monday
7. Tuesday
8. Wednesday
9. Thursday
10. Friday
11. Saturday
12. Sunday
13. Seasonal
14. Total hours you’d like to volunteer per week*
15. List any special skills, previous volunteer experience, or trainings*

Parent/ Guardian Information (if Applicant is under 18)

1. Guardian Name
2. Guardian Last Name
3. Guardian M.I.
4. Guardian Email(valid email required)
5. Guardian Phone
6. Guardian Cell Phone
7. In case of an Emergency, who should be contacted?*

Voluntary Questions

1. How did you hear about this position?
2. Will you require any accommodations for any disabilities?
3. YesNo

Volunteer Agreement and Code of Conduct

1. As a volunteer: I agree to abide by all policies and procedures of DirectEmployers Institute. I will conform to all rules and regulations commonly applying to employees of DirectEmployers Institute, including safety, discrimination, harassment, and confidentiality. I give consent to DirectEmployers Institute to use and reproduce my name, voice, and/or likeness in connection with any advertising, programming, and/or promotion in any media this organization chooses.   I further agree to: Support the mission, goals, and efforts of DirectEmployers with a positive attitude. Approach my volunteer job responsibilities with professionalism. Treat all individuals with respect and kindness. Promote goodwill by handling contacts with staff, other volunteers, and program participants, in a spirit of courtesy and cooperation. Report to my volunteer job physically and mentally fit for duty. Provide appropriate notice of unavoidable absence or tardiness. Deal fairly with all staff, volunteers, and program participants without regard to their gender, race, ethnicity, religion, age, sexual orientation, citizenship, handicap, or disability.
2. If volunteer is under the age of 18, please have guardian sign their INITIALS for approval.
3. What color is snow?