DVSF Request for a Mentor

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Email *

Name of Student *

Grade *

Age *

Parent email *

(We encourage parents to be included in mentor/student communications)

Student email

(optional)

Street address *

City *

State *

Zip code *

Phone *

Alternate phone

School Information

School name *

School address *

School phone *

Teacher *

Sponsor Who Completed ISEF Forms *

Question, Problem, or Need

Area of study and expertise needed *

(science fair category)

Question for mentor *

Equipment needs that you are trying to find

List only equipment that you hope a mentor will provide. Most of our mentors will not be local to you, and few have equipment to offer. We will attempt to meet your needs but do not promise finding access to laboratories or equpment.

Other information that might help with placement

Name of parent(s) or guardian(s) *

Parents/guardians agree to oversee mentorship arrangements *

DVSF matches students with mentors who fit their needs. Parents/guardians make arrangements for mentoring process, including transportation and monitoring interactions. Mentors are volunteers; please be respectful of the time they are giving to assist your student.

Yes

Required

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