STEMAZING Inspiration Academy - Scholarship Registration Form-STEMAZING

STEMAZING Inspiration Academy - Scholarship Registration Form

To register your interest in taking part in the STEMAZING Inspiration Academy, please fill in the following form. Please note that we take data protection seriously in accordance with our GDPR policy. Your data will not be shared with any 3rd parties.

Full name

Your contact email

Your phone number

Your address line 1

Your town or city

Your postcode

Your country

Your LINKEDIN profile URL (or put NA if you don't have one)

Please note - you do not need a STEM qualification/job title to take part in this programme. We welcome all women in STEM, if you identify as a woman 'or non-binary' and work in the STEM ecosystem then we welcome you to apply!

Your area of STEM

We capture DIVERSITY DATA to understand how diverse our applicants are and to help us to identify where we need to improve our reach in the future. This data is kept in strictest confidence in line with our privacy policy.

Your gender

Female

Non-Binary

Other

Prefer not to say

If Other, please state which gender:

Your pronouns

She/her

They/them

Other

Prefer not to say

If Other, please state which pronouns:

Your ethnicity

Are you neurodivergent? For example: Autism, ADHD or Dyslexia.

Yes

Prefer not to say

Your disability (if applicable)

Your sexual orientation

Your nationality

Are you currently a registered STEM Ambassador with STEM Learning UK?

Yes

Not based in the UK

Don't know

We have a number of places for women in STEM who are currently out of work and job seeking. Is this you?

Yes

I am a student

Prefer not to say

WHY do you want to take part in the Inspiration Academy programme?

WHY do you think it is important for young people to engage in STEM outreach and see women role models?

STEMAZING embodies DIVERSITY and INCLUSION. How will you bring a diverse perspective and ensure you act inclusively on the programme?

Have you APPLIED to take part in the Inspiration Academy before?

Yes and took part in the programme

Yes but was not selected

Are you a current MEMBER of a professional body or institution e.g. IMechE, IOP, WES?

Yes

If you're a member of a professional body, please share the name, and if with IMechE, include your membership number. This could boost your chances of selection!

How much prior EXPERIENCE of public engagement do you have e.g. running workshops, giving talks, visiting schools, writing articles?

A lot - many activities

A little - 1 or 2

None

How would you rate your CONFIDENCE overall?

Very confident

Quite confident

Not very confident

Not at all confident

How would you rate your CONFIDENCE with public engagement/public speaking?

Very confident

Quite confident

Not very confident

Not at all confident

How would you rate your CONFIDENCE engaging with primary school children?

Very confident

Quite confident

Not very confident

Not at all confident

If you selected 'Other benefit(s)', please state what benefit(s)

Do you know of any local primary SCHOOLS that might be interested in the STEM sessions?

Yes

Don't know

If Yes, please provide SCHOOL contact details (name, email/phone). We’ll email them to register, but if they miss the deadline, no extensions will be given. Please also remind the school to register at https://www.stemazing.co.uk/inspiration-academy.

For GDPR compliance, please confirm you consent to the following:

I consent to my HEADSHOT (photo) and INTRODUCTION VIDEO (you will film as part of this programme) being shared on STEMAZING website and social media platforms.

I consent to BEING TAGGED in social media posts about the programme.

I consent to my email address being shared with my assigned Accountability Group so we can contact each other.

I consent to BEING ADDED to the WhatsApp group for this cohort of STEMAZINGWomen on the programme.

Please accept your COMMITMENTS should you take part in the programme:

I can start on 3rd March 2025 and commit to 2 hours a week until the programme finishes in May end

I will attend the live webinar held once a month, usually 12:00-1:00pm (UK time)

I will watch the video tutorials and complete the short exercises set.

I will deliver 4 STEMAZING sessions in May once I am trained on a day/time agreed with the school

I will complete STEMAZING feedback surveys when appropriate, to evaluate the impact of the programme

I will abide by the STEMAZING privacy and safeguarding policies (following training)

I will let the STEMAZING team know if I have any issues or concerns at any time.

To the best of my ability - I will commit to the 3 month duration of this programme.

Monthly live webinars hosted by STEMAZING's Founder and CEO, Alex Knight will be held throughout the programme, providing fantastic opportunities to connect and learn together. Here are the dates to add to your diary:

Launch Webinar: 5th March, 12:00 PM to 1:00 PM
Second Webinar: 1st April, 12:00 PM to 1:00 PM
Third Webinar: 28th April, 12:00 PM to 1:00 PM
Celebration Close-Out Webinar: 19th June, 12:00 PM to 1:00 PM

We will send the invites for these sessions in February.

The RESOURCES required for you to practice and demonstrate the STEM activities will cost approximately £7. Is this a barrier to you participating in the programme?

No - I can source the materials

Yes - this will be a barrier for me

How did you HEAR about STEMAZING?

Please let us know if you have any additional requirements that will allow you to participate fully, for example, if you are deaf a BSL interpreter could join the live webinars.

I consent to receiving EMAILS from STEMAZING about the programme - you can unsubscribe at any time!