Girlstart Alumni Contact Form

Girlstart Alumni Contact Form

Alumni Contact Information

First Name*

Last Name*

Maiden Name

DOB*

Email address*

Phone number*

Street Address*

City*

State*

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Zip Code*

Girlstart Experience and STEM Journey

What Girlstart program(s) did you participate in?*

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What region did you participate in Girlstart?*

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What year(s) did you participate in Girlstart? (Provide an estimate if unsure.)*

Tell us about a favorite Girlstart memory or moment, or anything else you'd like to share about your experience with Girlstart!

How did Girlstart impact your journey in STEM?

What life stage are you currently in?*

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Tell us about your post-high school experience (college/school, field of study, graduation date, etc.)*

What are you exploring now? (career, school, interests...)

What sparked your interest in STEM - was there a specific person, program, or event in your life that led you to your STEM career?

Tell us about your experience in your STEM field, such as your favorite things about your job, projects you've worked on, challenges you've overcome, and the impact your work has had on the community or industry.

What would you like to tell girls who are interested in pursuing a STEM career? (i.e. Why is confidence in STEM important for girls?)

Alumni Spotlight Opt-In

Please check the box below if you would like to be featured in an upcoming Alumni Spotlight in the Girlstart newsletter. Girlstart will use your responses in the questions above to build out your Alumni Spotlight. You will also be informed via email before you are featured.

Please upload a photo for us to share with your Alumni Spotlight!*

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Stay In Touch!

Are you interested in ways you can still participate in Girlstart as an alum? If so, select all that apply.

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Would you like to subscribe to the Girlstart newsletter?*

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Any other questions or ideas for us? Tell us here!

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