Full Name First Last Email Current Position Organization Degree(s) and College/Universities Degree(s) and College/Universities Degree(s) and College/Universities Add more items more items Programs In which STEM-H Center Programs did you participate? Central NM Science & Engineering Research Challenge Year(s) Central NM Regional Science Olympiad Year(s) SW Region Junior Science & Humanities Symposium (JSHS) Year(s) Image Please add a cool photo of you in action! More If you have any more than the 3 image limit and you would like to share, we would love to see them. They can be emailed to firstname.lastname@example.org.Maximum 3 files.2 MB limit.Allowed types: gif, jpg, png, svg. Did your participation in one or more of our programs influence your college and/or career decisions? Yes No If YES, please describe how Please describe some of your favorite memories of participating. May we contact you with volunteer/mentoring opportunities? Yes No Phone May we contact you in the future as we develop alumni stories? Yes No Do you know the contact information of any other participants we could reach out to? Yes No Great! Can you please provide their full name and email or phone? Photo and Information Release I grant to UNM STEM-H Center, its representatives and employees the right to use photographs of me and my property in connection with the above-identified subject. I authorize UNM STEM-H Center, its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that UNM STEM-H Center may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content. I have read and understand the above.