High School Heroes Graduation Cords 2021 Question Title * 1. Student Name Question Title * 2. Home Address Question Title * 3. Phone Number Question Title * 4. Personal Email address Question Title * 5. High School Question Title * 6. Grade level Question Title * 7. Graduation Date Question Title * 8. List all of the elementary schools where you have taught JA curriculum to students: Question Title * 9. Tell us how being a JA High School Hero has impacted you: Question Title * 10. Junior Achievement USA and Junior Achievement of Dallas (collectively “Junior Achievement”) engages with volunteers (“JA Volunteer”) to deliver K-12th grade programs in-person, online, or through other virtual means, for the purpose of fostering work-readiness, entrepreneurship and financial literacy skills. JA Volunteers deliver these programs featuring content provided by Junior Achievement (“JA Materials”), but JA Volunteers may also create and furnish content for use with these programs (“Volunteer Created Materials”). In presenting the JA Materials or the Volunteer Created Materials, the Likeness (defined below) of the JA Volunteer may be photographed, recorded or otherwise reproduced. This JA Publicity Release, Copyright Acknowledgement and Content License (the “Agreement”) authorizes Junior Achievement to use the Likeness of the JA Volunteer, clarifies the ownership of JA Materials and Volunteer Created Materials, and grants a license for Junior Achievement to use the Volunteer Created Materials and other content as described below.To read the full media release, click here:By my signature, I acknowledge that I have read, understand and agree to the terms above. *Parent or guardian signature required if student is a minor.Participant's Signature: Question Title * 11. Parent/Guardian's Signature: Question Title * 12. Senior Photo (if under 18, refer to Q. 11 for parent/guardian consent) PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Senior Photo (if under 18, refer to Q. 11 for parent/guardian consent) Question Title * 13. Participant's Date of Birth (DD/MM/YYYY): Done