Thank you for your interest in the SciMatch program! SciMatch is an outreach program that connects STEM professionals with middle school classrooms. Thanks to the generous support of the Biogen Foundation, SciMatch is going virtual this year! Selected SciMatch STEM professionals will receive: A training webinar on science communication Opportunities to conduct virtual outreach visits with middle school students A thank-you gift of NCSciFest swag A $100 stipend (optional - note Biogen employees are not eligible) This program consists of the following commitments: Attend a short training webinar (tentatively scheduled for the afternoon of February 24 with a makeup date in early March) Meet virtually with the paired teacher once ahead of time "Visit" the paired classroom twice during April 2021 Complete program evaluations To apply, please provide the following information: Contact Information Contact Information First Name * Last Name * Email Address * Re-enter Email Address * Phone Number * xxx-xxx-xxxx Mailing Address Mailing Address Address Line 1 * Address Line 2 City * State * AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Application Application Information If you selected "Other", please describe Where do you work? * What's your title? * Please briefly describe your area of work/research * 100 characters or less Have you participated in public outreach before? If so, what did you do? Select all that apply Visited schools Media interviews Blogging/social media Presented to elected officials Informal public education Other Personal Information Personal Information The NCSciFest prides itself on diversity and having our scientists represent the diverse population of North Carolina. Age * 18-22 23-29 30-44 45-59 60+ Gender * With which of these groups do you identify? * African American/African Caucasian/European Hispanic/Latino American Indian/Alaska Native Native Hawaiian/Other Pacific Islander Middle Eastern South Asian/Indian East Asian Prefer not to answer Other What t-shirt size do you wear? * - Select -XSSMLXLXXLXXXL Do you have any special needs or considerations that we need to know about? If so, please elaborate and provide suggestions for proper accommodations.
