Outreach Volunteer Data Sheet

Outreach Volunteer Data Sheet Name: ______Email: ______Phone (optional):______Preferred method of contact (select all that apply): text call Email FAX Class Standing: FR SO JR SR GRAD Are you a transfer student: Yes / No Residency: On/Off campus If off campus: City: ______Zip: ______Miles from UNCC campus: ______Wishes/needs to car pool: Yes / No Individual Transportation: Yes / No Willing to: car pool and/or transport If yes: Pickup Truck SUV Sedan Coupe

Outreach activities you are interested in helping out with: (check all that apply) ______SPS (be an active member in the Society of Physics Students!) ______Star Parties ______Science Expose (spring semester during Science Month) ______Science Olympiad Ambassador (traveling across the state, mostly in spring semester) ______Science Olympiad Ambassador (on campus during week of spring break and in mid May) ______Explore Open House UNC Charlotte (event held twice in both fall and spring semesters) ______Judge for elementary school science fairs (need to travel) ______Judge for middle school science fairs (need to travel) ______Judge in training: Regional Science Fair (co-judge with department Professor) ______Recruit high school students into Physics: Showcase (AP)2 at UNC Charlotte (need to travel) ______Guru advisor for physics majors at SOAR (during summer months) ______Donate your time to tutor Physics or Math for individuals or community centers. ______Scouting for opportunities for volunteerism in the community, including on campus.

Other outreach activities you would like to volunteer for that are not on the above list. ______