STEM Professionals in Schools

Registration (STEM Professional)

Use this form to begin your registration as a volunteer scientist.

* = Mandatory field

Title          
* First name
* Surname
Gender M    F
Position
Department
* Organisation
Other organistions
* Work postal address
 
* Town/suburb
* State   * Postcode
* Phone (Wk.)         Mobile
Fax
* Email
* With which area(s) and year level(s) would you like to help teachers?
  Year level(s) of interest

Subject area(s)
of interest

Lower
Primary
Middle
Primary
Upper
Primary
Junior
Secondary
Senior
Secondary
Earth & Space
Living Things
Energy & Force
Matter
Mathematics
Engineering & Technology
Working Scientifically
Please tell us about your preferred school or style of partnership
* Current discipline or specialty (eg biochemistry,
civil engineering, obstetrics)
* Highest qualification
* Year of qualification (YYYY)
Professional associations
Age range

*Do you have a valid working with children check?

List of accepted checks

Yes    No
Around which location would you like to be partnered?  
Would you be willing to travel to visit a school? (If selected, the STEM Professionals in Schools program may be able to assist with your travel costs) Yes    No
Would you be happy to work in a partnership with no face-to-face contact (for example via teleconference or email)? Yes    No
Please describe any school projects you are currently involved with (including the school name if possible).
Where did you hear about STEM Professionals in Schools?
My supervisor supports my involvement in this project Yes    No    Not applicable
Supervisor's first name
Supervisor's last name
Supervisor's email
  I have read and accepted the terms & conditions in the legal notice New Window.

Please note: we are currently upgrading our registration system so there may be a slight delay in processing registrations during this time. You will be informed once the new system is activated. Thanks again for supporting STEM Professionals in Schools