AIChE DVS K-12 Outreach Involvement Survey
This form seeks to gauge interest among our AIChE DVS members & engineering professionals alike who share a passion for chemical engineering and extending it beyond the workplace in inspiring young minds.

Note: Filling out the form does not commit you to any events. The AIChE DVS outreach committee is trying to gather information for future outreach events and volunteers.

We are always looking to partner with other STEM/ Engineering groups, schools (K-12) and organizations to increase the number of events we can reach out to and further influence future engineers. If your group would like to partner with us, please email Ted Heron (theodore.heron@gmail.com).

Read about our student outreach review & opportunities here: https://www.dropbox.com/s/2ds8j9eijfqnz5d/AIChE%20DVS%20Student%20Outreach%20Review%20-%202015-%202016.docx?dl=0

http://aiche-philadelphia.org
The four experiments covering different subsections in chemical engineering (carbon sequestration, polymers, heat transfer, design of experiments & solubility) include the following:
First Name:
Your answer
Last Name:
Your answer
Email Address:
Your answer
Phone Number:
Preferably cell phone number please. We will be respectful of your contact number and will contact you only in cases of emergency when you are registered for an event. Please list as XXX-XXX-XXXX
Your answer
University / College attended:
This is just so that we can gauge any university affiliations for student chapter partnerships. Please list undergraduate, post graduate affiliations, etc.
Your answer
Major / Concentration:
Required
To what extent has your K-12 STEM Outreach involvement been?
This is so that we can understand the experience level of our volunteers and provide the necessary resources where needed.
Which hands-on engineering/ STEM activity would you be most interested in leading/ assisting?
Feel free to select more than one if not please feel free to suggest your own:
Required
What is the closest geographic area near you?
This is so that we can gauge where our volunteers are coming from and strategize volunteer/outreach locations.
Do you have any further feedback to give to the team / ideas you would like to suggest for STEM outreach activities? Comments? Suggestions?
Your answer
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