DVSF Mentor Registration
Thank you for agreeing to serve as a mentor for high-school and/or middle-school students.  So that we can match your skills to the students' needs, please complete this form as thoroughly as possible. Your information will not be shared beyond the purposes of this registration.  
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Title [Select One] *
Name *
Field of Academic Degree *
Occupation *
If retired, please indicate such in the text box.
Business Association
Business Address
County
State *
Contact Information
Email Address *
Home Address *
Primary Phone *
List the phone number that you prefer to use for mentorship communication in format xxx-xxx-xxxx.
Other Phone
List any other phone numbers that can be used for contact in format xxx-xxx-xxxx.
Fax, if available
Mentoring Preferences
Research Topics That You Will Mentor
Please select ALL that apply.
Yes
Animal Sciences
Behavioral & Social Sciences
Biochemistry
Cellular & Molecular Biology
Chemistry
Computer Science
Earth & Planetary Science
Engineering: Electrical & Mechanical
Engineering: Materials & Bioengineering
Energy & Transportation
Environmental Management
Environmental Sciences
Mathematical Sciences
Medicine & Health Sciences
Microbiology
Physics & Astronomy
Plant Sciences
Clear selection
Mentorship Style *
Please select ALL that you can provide.
Required
Grade Level of Students
Please select ALL levels that you will accept
Yes
12 (senior)
11 (junior)
10 (sophomore)
9 (freshman)
6, 7, 8 (middle school)
Clear selection
Laboratory Equipment Available *
List any laboratory equipment that you can provide to assist the student researchers in their experimentation. If no equipment is available, please indicate "none."
DVSF Mentorship Policies
Policies have been established to provide the best possible mentoring experience for students, mentors, parents, sponsors, and other involved.  
Are you currently enrolled in any Child Protection Program? *
Please submit background check details, if available, to DVSF Child Protection, 690 Stockton Drive, Suite 105, Exton, PA 19341, or bsolomon@DVSF.org.
Do you have any prior arrests or convictions on record? *
Are you willing to provide information to DVSF staff for an online scan of criminal records? *
Are you familiar with the International Science and Engineering Fair Rules and Guidelines? *
Students must adhere to the rules to participate in DVSF science fairs. See https://www.societyforscience.org/isef/international-rules/ for Rules, Forms, and Guidelines.
Additional Comments
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