Girl Scouts of NE Ohio Badge Program Sign Up Form Name * First Name Last Name Email * Phone (###) ### #### Company Name * Job Title * What is your area(s) of expertise or experience? Please choose all that apply. * Aerospace Chemical Engineering Civil Engineering Computer Science Engineering Electrical Engineering Environmental Engineering Industrial/Manufacturing/Systems Materials Engineering Mechanical Engineering Metallurgical Engineering Other If you chose "Other" above, please describe. What age group are you looking to work with? Please choose all that apply. * Daisy (grades K-1) Brownie (grades 2-3) Junior (grades 4-5) Cadett (grades 6-8) Senior (grades 9-10) Ambassador (grades 11-12) Where would you like to host the event? At my office location At a Girl Scout location, chosen by the program manager I am willing to do either option Additional Info/Message (optional) Thank you for your interest in participating in a Girl Scouts of NE Ohio STEM Badge program. You have signed up to learn more. We will be contacting you shortly.
