Junior STEM Coach – Application Form

Full Name

Age

Grade

School

Email

Phone

Parent / Guardian Name

Parent / Guardian Email

Parent / Guardian Phone

Days you are available:

Preferred time(s):

Why do you want to be a Junior STEM Coach?

Do you have experience working with kids?

A with How

What STEM areas interest you most? (Select all that apply)

List any clubs, volunteering, or leadership activities you’re involved in:

What skills do you think you can bring to our team?

A younger child is frustrated because their project isn’t working. How would you help them?

I understand this is a volunteer/assistant role and I will receive training.

Parent/Guardian consent (required):