Volunteer Application

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Thank you for choosing KodeConnect to share your talents. We are dedicated to connecting kids to STEM education, each other, and to real world STEM related careers. Now we want to know more about YOU!

Option 1

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First Name *

Last Name *

Email Address *

Phone Number *

Employer *

Address of Employer *

Job Title *

Please select the time of day you are available to volunteer: *

1-3 during school hours

3-6 after school hours

summer camp mornings 9-12

summer camp afternoons 12-3

Other:

Required

If other, when are you able to volunteer? *

What is your date of birth? *

YYYY

What is your gender? *

Female

Male

Prefer not to say

Other:

What is your race? *

African American/ Black

American Indian or Alaska Native

Asian

Caucasian/ White

Hispanic or Latino/ LatinX

Multiracial

Native Hawaiian or Other Pacific Islander

Prefer not to respond

Other

Please use the space below to tell us why you would like to volunteer. *

Please use this space to tell us a little about your STEM background and the career journey you have experienced. *

What Is your level of expertise with HTML/CSS?

NONE

ADVANCED

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What is your level of expertise with C languages?

NONE

ADVANCED

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What is your level of expertise with Graphic Design?

NONE

ADVANCED

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What is your level of expertise with Bootstrap?

NONE

ADVANCED

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Is your area of expertise not mentioned above? Please list it here:

Where do you live? City/Town and State only *

Do you have access to a car or regular transportation to Brockton? *

Yes

Will you submit to a CORI and SORI inquiry? *

Yes

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