4074 Eggers Drive 
Fremont, California 94536 
(510) 790-6284    fax (510) 790-6089


Math/Science Nucleus is a tax-exempt organization, headquartered in Fremont that is attempting to increase the awareness of children and community of the importance of science in our everyday lives. . PLEASE PRINT CLEARLY!  Please send to address above or fax.  You may also email this information (copy and paste in an email).

REQUIREMENTS:  Must be  entering or in high school to help with summer classes.  You should commit to the entire week.  We only allow  up to 4 volunteers for each class at the Children's Natural History Museum and at Tule Ponds at Tyson Lagoon.  You may not bring another person during the week.   The first day of the camp you should come about 15 minutes earlier, subsequent days maybe about 5 minutes before class starts to get instructions.

For more information please contact us at  Please do not call.

Full Name:____________________________________________


City:  ______________________State_____Zip ______________

Phone: ___________e-mail  ________________________________________

Birth date:__________________________ Grade: _____________

male/female   _____________________________________

School attending: ___________________________

In case of emergency who should we contact:

Name: __________________________________________________

Relationship: _____________________________________________

Phone: __________________________________________________

Is this for community service, service learning, or just for the spirit of it! Explain.


What would you like to volunteer for? Write down the science classes you would have completed by summer.

Summer Classes  (list classes, go to class schedule from home page)