Your Full Name (required)
Your Email (required)
Your Phone Number (required)
Your Address (including zip)
Company/Organization/School
Where would you like to assist? AZ StRUT Mesa WarehouseConfiguratorsOther
Why are you interested in assisting AZ StRUT? to improve Arizona's STEM educationto improve my tech skillsto improve Arizona's environment
Current Student Status I am a current high school studentI am a current college studentI am not a student
Current Job Status I have a full-time jobI have a part-time jobI am self-employedI am currently not employedOther
Current Field of Work I work in the tech fieldI work in the education fieldOther
Current or Previous Volunteer or Work Experience
What is your anticipated start date?
Where would you like to assist? AZ StRUT Mesa WarehouseConfigurators (please pay Configurator Fee, below)Other
Configurator Fee: $50 Pay through PayPal
