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Volunteer Information
Title:*
First Name:*
Last Name:*
Employer:*
Email:*
(valid email required)
Office Phone Number:*
Home Phone Number:*
Cell Phone Number:*
Home Address:*
City:*
Postal Code:*
Work Address:*
City:*
Postal Code:*
Area of Expertise or Presentation Topics: (for detailed information, refer to
http://education.alberta.ca/teachers/program/science/programs.aspx
)
Experience with students & areas of interest/hobies with a scientific "Twist" (such as "Scuba & Pressure," "Women & Girls in Science", or "Model Airplanes")
Which volunteer service are you willing to offer? (check all that apply)*
Scientists & Engineers-in-the-Classroom
Field trip leader for classes/teachers
Teaching workshop presenter
Science fair judge
Mentor to new volunteers
Careers mentor
Contact resource - answer questions in your area of expertise
Board member
Steering committee member
Resource kit volunteer
Events, booths, mailings, etc.
Which grade levels are you willing to work with?*
Any
Kindergarten
1-3
4-6
7-9
10-12
Teachers/Adults
Which size of group would you be willing to work with? (most requests are for one class at a time)*
Any Size
One Class at a time (25)
Multiple Classes (50-100)
Auditorium
Availibility (most visits are during school hours)*
Business hours
Evenings
Weekends
How many classroom visits would you like to do per year?*
Monthly
Bi-monthly
Other
Would you consider visiting schools outside the Red Deer/Central Alberta Region?*
50-100 km
Over 100 km
Languages spoken fluently (check all that apply)*
English
French
Spanish
Other (
please specity below which languages you speak
)
Other Languages:
If Applicable
Would you like to become a member of the Central Alberta Science Network?*
Yes
No
Membership is free and is open to anyone interested in promoting science knowledge, subject to approval. Members will receive meeting notices, can attend and speak at general meetings, and can vote, as outlined in the Bylawes. Go to http://www.casciencenet.ca/ for the online membership form.
Degree/Diploma:*
Specialization:*
University/College:*
Year Graduated:*
Professional Memberships:*
APEGA
I previously volunteered with APEGA
Other memberships (
please specify membership below
)
I consent to releasing my information to my professional membership organization, for the purposes of recognition and accreditation.
Other Professional Memberships:
If Applicable
Volunteer:
Note that in participating in the activities of the Central Alberta Science Network, you will be acting independently, and not as the servant, employee, or agent of the Central Alberta Science Network. As a volunteer you are expected to behave in an ethical manner while taking part in activities of Central Alberta Science Network. You must also ensure that the teacher remains with the class during your entire scheduled activity. A police security clearance may be required.
I Agree
References:
Reference 1:*
Address:*
Employer/Position:*
Affiliation to Volunteer:*
Known Applicant (years):*
Phone:*
Email:*
(valid email required)
Reference 2:*
Address:*
Employer/Position:*
Affiliation to Volunteer:*
Known Applicant? (year)*
Phone:*
Email:*
(valid email required)
Questions? Contact the program coordinator by phone, fax or email as shown below.
Volunteers will be offered presentation skills training, stressing hands-on learning. As school policies may not cover visitors, volunteers should have their own insurance (auto, health).
Units in Alberta Science Curriculum - Grade 1 - 12
Please check the boxes next to the units about which you could give presentations.
Grade 1
Creating Colour
Seasonal Changes
Building Things
Senses
Needs of Animals and Plants
Grade 2
Exploring Liquids
Buoyancy and Boats
Magnetism
Hot and Cold Temperature
Small Crawling and Flying Animals
Grade 3
Rocks and Minerals
Building with a variety of Materials
Testing Materials and Designs
Hearing and Sound
Animal Life Cycles
Grade 4
Waste and Our World
Wheels and Levers
Building Devices and Vehicles and move
Light and Shadows
Plant Growth and Changes
Grade 5
Electricity and Magnetism
Mechanisms Using Electricity
Classroom Chemistry
Weather Watch
Wetland Ecosystems
Grade 6
Air and Aerodynamics
Flight
Sky Science
Evidence and Investigation
Trees and Forests
Grade 7
Interactions and Ecosystems
Plants for Food and Fibre
Heat and Temperature
Structures and Forces
Planet Earth
Grade 8
Mix and Flow of Matter
Cells and Systems
Light and Optical Systems
Mechanical Systems
Freshwater and Saltwater Systems
Grade 9
Biological Diversity
Matter and Chemical Changes
Environmental Chemistry
Electrical Principles and Technologies
Space and Exploration
Science 14
Investigating Properties of Matter
Understanding Energy Transfer Technologies
Investigating Mater and Energy in Living Systems
Envestigating Matter and Energy in the Environment
Science 24
Applications of Matter and Chemical Change
Understanding Common Energy Conversion System
Disease Defence and Human Health
Motion, Change and Transporation Safety
Science 10
Energy and Matter in Chemical Change
Energy Flow in Technological Systems
Flow of Matter in Living Systems
Energy Flow in Global Systems
Science 20
The Changing Earth
Changes in Living Systems
Chemical Changes
Changes in Motion
Science 30
Living Systems Respond to their Environment
Chemistry and the Environment
Electromagnetic Energy
Energy and the Environment
Biology 20
The Biosphere
Energy Flows and Cellular Matter
Energy and Matter Exchange in Ecosystems
Energy and Matter Exchange by the Human Organism
Biology 30
Systems Regulating Change in Human Organisms
Reproduction and Development
Cells, Chromosomes and DNA
Change in Populations and Communities
Chemistry 20
Matter as Solutions, Acids, Bases and Gases
Quantitative Relationships in Chemical Changes
Chemical Bonding in Matter
The Diversity of Matter: And Introduction to Organic Chemistry
Chemistry 30
Thermochemical Changes
Electrochemical Changes
Equilibrium, Acids and Bases in Chemical Changes
Energy and the Evironment
Physics 20
Kinematics and Dynamics
Circular Motion and Gravitation
Mechanical Waves
Light
Physics 30
Conservation Laws
Electric Forces and Fields
Magnetic Forces and Fields
Nature of Matter
CASN's Policy on the Protection of Personal Information
Central Alberta Science Network respects your privacy. We protect your personal information and adhere to all legislative requirements of Alberta's Personal Information Protection Act. We do not rent, sell or trade our mailing lists. The information you provide will be used to deliver services and to keep you informed about the activites of CASN, including programs, services, special events, funding needs, opportunities to volunteer, open houses, etc. through periodic contacts. We have collected your personal information for the following purposes:
1: To enter your information into our database in order to match your skills with specific volunteer jobs.
2: To communicate with you regarding volunteering and the Central Alberta Science Network
Any time you wish to view, changes or delete your personal information, please contact us by phone (403) 342-3767 or by email
casn@asla.ca
It is also possible that we will take photographs of you in your volunteer job. CASN would like to obtain permission to utilize such photos on the website or for other marketing/communication tools. You will be asked for permission to use a photograph for this purpose.
*required fields
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