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Nina Otero Community School Program Request Form
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Home
What We Do
Adopt-A-School
>
Nina Otero Community School Program Request Form
Science Fairs
Tutoring
Teen Science Cafes
Professional Enrichment
Who We Are
News & Events
Volunteer
Support
Contact
Santa Fe Alliance For Science Volunteer Survey
*
Indicates required field
Name
*
First
Last
Email
*
Phone Number (optional - please enter as xxx-xxx-xxxx)
*
(please enter in format xxx-xxx-xxxx)
Mailing Address (line 1)
*
Address (line 2 if needed)
*
City
*
State
*
Zip Code
*
Preferred method of contact
*
Email
US Mail
Phone
Gender (optional)
*
Male
Female
Other
Age (optional)
*
<30
31-40
41-50
51-60
61-70
>70
LinkedIn profile (optional)
*
Languages spoken (other than English - please separate with commas)
*
Undergraduate Major, Minor subject areas (please separate entries with comma)
*
Graduate/Professional Degrees (check all that apply)
*
Masters
MBA
M.D.
Ph.D
Other Graduate/Professional Degrees (please separate by commas)
*
Graduate/Professional degree major (if appropriate)
*
Subject areas of expertise (please separated with comma)
*
Activities I'd like to volunteer for - (check all that apply)
*
Pre science fair school presentations
Science fair judging
Scientist in the classroom
In school tutoring (list subject areas of interest below)
Private tutoring (list subject areas of interest below)
Speaking at a Science Cafe
Other (please describe below)
Tutoring subject areas of interest (please list separated by commas)
*
Other activities in which you wish to participate (please list separated by commas)
*
Activities you participated in during the last school year (check all that apply)
*
Pre science fair school presentations
Science fair judging
Scientist in the classroom
In school tutoring
Private tutoring
Speaking at a Science Cafe
Other (please list below)
Other SFAFS activities for the past year - list separated with commas
*
If you participated in SFAFS sponsored "in school" tutoring during the past year please list the approximate hours below
Santa Fe High School (hours)
*
Santa Fe Community College (hours)
*
New Mexico School for the Arts (hours)
*
Academy at Larragoite (hours)
*
Other school (name)
*
Other School (hours)
*
Submit
