Self-eSTEM Digital & AI Literacy: Community-Based Program Partnership Intake Form

About the Program

Self-eSTEM’s Digital & AI Literacy - Community-Based Program (AI Made Simple & Safe) offers practical, ethical and accessible training that helps people across generations confidently use digital and AI tools in everyday life, learning and work.

Programming is community-based and flexible, delivered through workshops and learning experiences offered during the day, afternoons, evenings and weekends.

💥 See our Press Release of our AI Acceleration Initiative and NBC Bay Area interview below.

Who We Partner With

We collaborate with organizations and leaders interested in expanding digital skills, ethical AI understanding, and technology confidence, including:

  • Public, private and charter schools
  • Youth development and after-school programs
  • Educators seeking Digital & AI-focused professional development
  • Working professionals and career-focused individuals
  • Senior citizens interested in technology and online safety
  • Faith-based organizations and churches
  • Nonprofit leaders and staff seeking productivity and capacity-building tools

Partnership Opportunity

Partners host or integrate Self-eSTEM-facilitated Digital & AI literacy programming that:

  • Builds practical, real-world skills
  • Emphasizes ethical and responsible technology use
  • Aligns with workforce readiness and community needs

Workshops can be tailored to youth, adults, seniors or multi-generational audiences.

If your organization, or one you’re connected to in your network, would like to explore partnership opportunities, please share your information below.

This form helps us learn more about your organization and explore how our Digital & AI Literacy Community-Based Program can add value to your community, learners or staff.

💥 See our Press Release of our AI Acceleration Initiative and NBC Bay Area interview below.

Questions? Contact us at programs@selfestem.org.

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Watch Self-eSTEM's Executive Director - NBC Bay Area Interview
Section 1: Organization Information
Organization Name *
Primary Contact Name *
Title / Role *
Email Address *
Phone Number (optional) *
Please provide a 10-digit phone number, or enter ‘N/A’ if you do not have one.
Organization Website (optional) *
Please provide a website link, or enter ‘N/A’ if you do not have one.
Primary Location(s) Served *
(Select all that apply)
Required
Section 2: Organization Type
Which best describes your organization? *
(Select all that apply)
Required
Section 3: Audience(s) You Serve
Who would participate in the Digital & AI Literacy programming? *
(Select all that apply)
Required
Section 4: Program Interest & Goals
What are you hoping participants will gain from Digital & AI Literacy programming? *
(Select up to 3)
Required
How does this programming support your organization’s goals or priorities? *
Section 5: Program Logistics
Preferred Program Format *
Required
Preferred Timing *
Required
Estimated Number of Participants per Session *
Location Type *
Required
Section 6: Budget & Funding Considerations
To help us explore the right program structure and level of support, please share any information you have about budget or funding for this programming.
(We understand budgets may still be in development.)
Which best describes your budget for this partnership? *
If applicable, please share estimated budget details. *
Please provide details or enter ‘N/A’ .

Examples:

  • “$150 per student for approximately 25 students”

  • “Total program budget of $5,000 for a multi-session workshop series”

  • “Budget range between $3,000 - $7,500 depending on scope”

  • “Funding pending; awaiting confirmation from a grant or sponsor”

  • “No budget currently; interested in learning what options may be available”

Section 7: Additional Context
Is there anything else you’d like us to know as we explore partnership opportunities? *
Example(s): 
  • I would like to provide professional development training on a recurring basis. 
  • I'm planning a team offsite and I want to provide Digital & AI Literacy training to staff.
Section 8: Next Steps
What would you like to happen next? *
Required
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