Pretty Brainy

Volunteer Registration Form

Thank you for completing this form! The info will help everyone have a great experience. Time needed to complete the form is about 7 minutes. At the bottom of the page you may save and continue later.

General
I would like to . . .*
Please choose one of the following.
First name*
Last name*
Age range*
Email*
Mailing address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone number*
T-shirt size*
T-shirts will have a feminine silhouette. Choose one size up for relaxed sizing.
How did you hear about MISSion Innovation?*
Education & Professional Pursuits
I am currently in school*
Current level of study
School
Occupation and employer
Major and major interests*
To make multiple selections, hold down the ctrl/cmd key while clicking on your selections.
Additional expertise
Emergency Contacts
Enter two emergency contacts
Name: Contact 1*
Relationship to you*
Email*
Primary phone*
Secondary phone*
Mailing address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Name: Contact 2*
Relationship to you*
Email*
Primary phone*
Secondary phone*
Mailing address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Health & Wellness
Dietary restrictions*
Choose all that apply
- Gluten free
- Dairy free
- Vegetarian
- Vegan
- No restrictions
Other dietary restriction
Transportation
From where will you be traveling?*
Do you think you will need transportation?*
Team Member Matching Questions
Please answer the following for the best possible team matching.
Please cite specific interests or area(s) of expertise within your field.*
If you teach, what do you feel most comfortable teaching?
What do you like to do with any free time you have?*
In what social and professional organizations do you participate?*
Do you consider yourself an extrovert or introvert?*
Do you think you work better with extroverts, introverts or a mix of both on a team?*
Do you consider yourself a night or morning person?*
Background
Tell us about your previous volunteer experience.
Is this your first event of this nature?*
Do you have a background check on file with any one of the following organizations? Poudre School District, Thompson School District, Weld District RE4, Colorado State University, Verified Volunteers.*
If so, please select the organization with which you most recently completed a background check.*
Have you ever volunteered with Pretty Brainy in which you directly worked with K-12 students?*
In which Pretty Brainy program did you volunteer?
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MISSion Innovation Mentors & Volunteers

Volunteer Registration Form

General

Education & Professional Pursuits

Emergency Contacts

Health & Wellness

Transportation

Team Member Matching Questions

Background

Give where needed most

About Pretty Brainy

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