JA Classroom Volunteer Registration

Volunteer Information

Thank you for volunteering with Junior Achievement! Please provide the following information below to register as a volunteer:

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* 1. Contact Info (If you do not represent a company, enter N/A in the company Name and Phone):

Name (First Mi. Last):

Company Name:

Company Phone:

Email:

Company Address (# Street, City, State Zip):

Home Address (# Street, City, State Zip)

Home or Cell Phone (best to call):

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* 2. What are your preferences for a class assignment? Check the age group(s) with which you prefer working with:

Ages 6-8 years (K, 1st, 2nd)

Ages 9-11 years (3rd, 4th, 5th)

Ages 12-14 years (6th, 7th, 8th)

Ages 15-18 years (9th - 12th)

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* 3. Have you taught a JA program before?

Yes

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* 4. If YES, how many years have you been volunteering with JA?

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* 5. What is your semester availability:

Fall

Spring

Both

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* 6. Teacher, school, or community areas of specific preference:

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* 7. We love referrals! Know someone who might be interested? Provide us with their contact information and we'll make sure to get in touch with them. THANK YOU!

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* 8. As a JA program volunteer, I understand that this commitment is very important to the students, the teachers and funding for the program. If I am unable to fulfill my commitment, I will contact the JA office immediately: (Please Initial)

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* 9. Please select your ethnicity*:

American Indian/Alaska Native

Asian

Black/African American

Hispanic

Native Hawaiian/Pacific Islander

Two or more Races

White

Unknown

Other (please specify)

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* 10. Please select gender*:

Male

Female

Other

* Demographic information collected by JA is used for statistical purposes only. It is not used for individuals, but used only in aggregate form. JA is a non-profit organization that applied for grants and funding from various entities. In these applications, we provided statistical information to demonstrate that JA reflects the diversity of the communities we serve.

To complete your JA volunteer registration, please go to https://www.assuresign.net/s/JsI3raMfA0Cw30fvKB3T6wLQC6hUddsw0nu25KIA59GKp4FObKWzScnySmW_OnH3U to sign the JA Volunteer Conduct Standards/Media Release/Digital Media Policy. Your volunteer registration is not complete until you review those documents and sign the JA Acknowledgement through AssureSign. Thank you!