SMART Girls Club Volunteer

Role models are vital to spark a girl's interest in science and technology careers. Girls need role models to inspire them to dream big. Do you remember the people in your life who inspired you to follow your dream? Sometimes that inspiration comes from a short conversation with a caring adult. Specifically, facilitators:

Would you like to be a SMART Girls Club Facilitator?

YWCA Lincoln seeks volunteer SMART Girls Club facilitators, who help girls, in 4th through 8th grades, explore science, technology, engineering, and math fields in a supportive environment. Facilitators and girls work together to establish a relationship-centered learning community. Girls collaboratively explore hands-on, open-ended projects and investigations.

Please complete the entire form and we will get back with you as soon as possible.

Contact Information

First Name (Required)

Last Name (Required)

Organization

Address (Line 1) (Required)

Address (Line 2)

City (Required)

State

Zip Code (Required)

Phone (Required)

E-mail Address (Required)

Preferred Response

Past Volunteer Experience

How did you hear about SMART Girls Club? (Required)

Why did you choose this program? (Required)

Work Experience

Current Status

Civic, Club, or Professional Affiliation

Do you have any special skills or talents that can help our program?

Other Languages Spoken

Which day(s) are you available?

Mondays
Tuesdays
Wednesdays
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Fridays
Saturdays

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Have you ever been convicted of a crime?

If yes, please explain

Please list THREE Educational or Professional References (teacher, coach, advisor, supervisor, pastor) (Required)

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We request your cooperation in completing the following voluntary applicant demographic information. This information will not effect your eligibility to volunteer at the YWCA Lincoln. This information is gathered for grant and reporting requirements.

Gender:

Date of Birth

Ethnic Background- Please check all that apply.

White
Black
Hispanic
American Indian or Alaskan Native
Asian or Pacific Islanders

Certification of Applicant (Required)

By submitting this form, you certify that the information contained in this application is true to the best of your knowledge and belief. You understand that any material omission of facts or misrepresentation may result in your discharge regardless of when discovered.  You grant permission to YWCA Lincoln to investigate your employment record, educational record, criminal record and other records to verify the information you have provided on this application and release YWCA Lincoln, Board of Directors, employees, and volunteers or any other person or organization that may provide such information from any liability resulting from such investigation.  I understand that my position is conditional upon the YWCA Lincoln receiving no inappropriate information on my background. I hereby release and agree to hold harmless from liability the YWCA Lincoln, Board of Directors, employees, and volunteers thereof, or any other person or organization that may provide such information. I also understand that, regardless of previous volunteering, the YWCA Lincoln is not obligated to place me in a volunteer position. If accepted as a volunteer I understand that I will be expected to follow the YWCA Lincoln policies and/or principles and if not, that I will be subject to suspension or termination.

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SMART Girls Club Facilitator

Why are facilitators important?

Would you like to be a SMART Girls Club Facilitator?

Contact Information

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