2024 STEM YEA VOLUNTEER SIGN UP FORM
Enter your or another volunteer's contact information to sign-up for volunteering for the  2024 STEM YEA Academy to be held Thursday, July 11th through Sunday, July 14th, 2024 at Kutztown University, Kutztown, PA .

 Once you have completed all the form information, press the SUBMIT button to record your entry. (No data is saved unless you press the SUBMIT button).  An email will be sent to you confirming the information you entered.  The email you receive will contain an EDIT RESPONSE button which will allow you to re-access the form, if needed,  to modify information previously entered.  If modifying information, please remember to press the SUBMIT button to save your modifications. (Please save these email responses to you as they verify information entered and allow you to modify the record if needed)

All overnight volunteers will receive two D7430 Youth Protection compliance emails. The first email will be from STEMYEA2022@gmail.com  with instructions using personal records on file to complete volunteer eligibility requirements. The second email will be directly from Beth Massa, our Youth Clearance Manager, regarding required yearly background check when working with youth in D7430. Once all YP requirements are submitted and approved, the volunteer and the STEM YEA Chair will be notified

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Email *
Volunteer First Name *
Volunteer Last Name *
Volunteer Email Address *
Volunteer Telephone Number *
Enter Rotary Club Volunteer is associated with *
Tee Shirt Size (Adult *
Select Yes, if you are volunteering full time (Thursday thru Sunday) and require room and meals for all days *
Interested in volunteering for (select as many time periods you are interested in volunteering)
Please enter any comments you would like us to consider regarding your request to be a STEM YEA volunteer
I hereby give consent to the Allentown West Rotary Foundation and Club and Kutztown University to use my image and name in any media, for an indefinite period of time.
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A copy of your responses will be emailed to the address you provided.
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