2016-2017 Young Women in Science & Engineering Investigators (YWISEI) Program
Engineering and Computer Science School
VOLUNTEER COLLEGE MENTOR APPLICATION FORM
Deadline: June 24, 2016
Return to:
Magaly Spector
E-mail: magaly.spector@utdallas.edu
Program Overview
The Young WISE Investigators Program main goal is to inspire and
encourage high school students from Dallas to pursue careers in science,
technology, engineering and mathematics (STEM). Sponsored by the UT
Dallas Erik Johnson School of Engineering and Computer Science, Texas
Instruments Foundation, Flour Family Foundation, Ericsson, National
Science Foundation, and multiple donors, the Program provides
mentoring and support for at least 51 high school students, in at least 17
teams of three, over a one-year period to complete a science, technology, or engineering project. The
program also seeks to reward the top 3 teams by awarding scholarships to attend UT Dallas.
The success of the program and the students’ completion of their projects depend on an advisory team of
mentors comprised of UT Dallas students, industry professionals, and high school science teachers. Each
mentor will guide one team of 3 participants through the project development cycle, beginning May 2016
through April 2017.
Benefits
 Receive a $500-stipend ($250 at the end of the fall and spring semesters) for participating
 Receive training in creating a poster and presentation skills
 Network with industry professionals and develop personal and professional skills
 Gain the satisfaction of helping high schoolgirls reach their aspirations
 Strengthen coaching and leadership skills by working with individuals from different
backgrounds
 Create a legacy by fostering knowledge in the girls that can inspire new ideas for generations to
come
Minimum Qualifications
The applicant must:
 Be a student majoring in a engineering, Physics, Chemistry, or Material Science
 Be classified as a junior, senior or graduate student
 Be at least 18 years old
 Maintain above a 3.0 grade-point-average
 Have personal transportation or ability to navigate the DART transportation system
 Have a sincere desire to help adolescent students their achieve project goals
 Have strong listening skills and practical problem-solving skills, including ability to suggest
options and alternatives
Mentor Roles and Responsibilities
 Develop at least 2 research projects proposals (abstracts) for the Program to be used for the girls
to choose from.
 Communicate with the team on a weekly basis (via e-mail, Skype, phone, etc.) and meet them in
person once a month.
 Work with one team of students in choosing and developing the project by providing guidance
and offering, support, alternatives and feedback.
 Help the team set goals in order to carry out/complete above mentioned project and monitor
progress towards these goals.
 Act as a resource person to the team by sharing knowledge, skills, and experiences facilitating the
team’s reflection on experiences throughout the project.
 Work with the team, teacher & UT Dallas Program Coordinator to correct problems that might
occur and to maximize the learning experience for the team.
 Enhance team’s awareness of and belief in their own potential
 Provide each student, from the team, information about college and professional experiences (i.e.
alma mater, college preparation resources, employer, type of work, etc.)
Terms of Participation
 The mentor may be released from the program if the mentor is participating in any prohibited
activities, does not comply with DISD safety guidelines, violates Federal, State or Local laws or
consistently does not meet with the team.
 The mentor must commit from June 2016 through April 2017
Required Training
 Mentor must complete online child protection training (required by Dallas ISD and UT Dallas)
 Mentor must apply to be a volunteer for DISD schools
 Mentor must complete a mentor orientation and training
 Mentor may need to complete TI training depending in the project field
Program Application Checklist
The following items must be submitted to be considered for the program.
Completed Application & Participation Agreement by Monday, August 17, 2015
Scanned or printed copy of completed Dallas ISD online volunteer application and confirmation
page
Completed Criminal Background Check Form
Complete bio with picture
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Meetings with the team
Mentors are required to meet in person with the team and teachers for at least one hour per month.
Additional meetings may be conducted by email, telephone or Skype with parent consent once a week.
The mentors meet after school hours and/or weekends in a designated location at the High Schools
participating in the program.
APPLICATION: (Please print or type)
Contact Information:
First Name: _________________
Last Name: ________________ Date of Birth: ________
Ethnicity: ____________ Email: ______________________________ Phone: _______________
Year in School:
Junior
Senior
Graduate Student
Other ________ T-shirt Size: _________
Education:
Major Area of Study: ________________
Cumulative GPA: _______________
(Graduate Students) University where you completed your undergraduate studies: _______________
Employer (if applicable): ____________________ Title: __________________
Skills, Activities & Achievements:
List any organizations you are a part of, including any elected positions or offices held in the organizations and any
honors received, that you may want to share with your team:
________________________________________________________________________
________________________________________________________________________
Have your participated in Young WISE Investigators Program at UT Dallas?
Yes
No
List any skill areas relevant to the program in which you have training or experience:
________________________________________________________________________
Availability:
Are you available to meet the team for a minimum of one hour a month in person and once a week via phone,
Skype, etc ?
Yes
No
When are you available to meet for orientation?
Lunch time?
Evenings?
Weekends?
Other ____________________________________________________________
Note: Mentors will be expected to attend other related programs, such as a kick-off event, presentation and
evaluation of projects and awards ceremony.
I have read, understand and agree to all the terms and conditions of this agreement.
Signature:
Date: ___
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