Wednesday, February 22, 2012
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Request A Volunteer
Title:
Title
- Select One -
Mr.
Mrs.
Ms.
Miss
Name:*
Name
School:*
School
School Phone:*
School Phone
Home/Cell Phone:*
Home/Cell Phone
Email:*
Email
Preferred Method of Contact:*
Preferred Method of Contact
School Phone
Home/Cell Phone
Email
Ethnicity*:
Ethnicity*
- Select One -
African American
Alaskan Native
American Indian
Asian
Caucasian
Hawaiian
Hispanic
Multi-Racial
Other
New Teacher to JA:*
New Teacher to JA
Yes
No
Grade:*
Grade
JA Program Request:*
JA Program Request
- Select One -
Kindergarten- Ourselves
1st Grade- Our Families
2nd Grade- Our Community
3rd Grade- Our City
4th Grade- Our Region
5th Grade- Our Nation
Elementary- After School
Middle School- JA Global Marketplace
Middle School- JA Economics for Success
Middle School- JA It’s My Business
Middle School- After School
High School- JA Be Entrepreneurial
High School- JA Business Ethics
High School- JA Careers With a Purpose
High School- JA Exploring Economics
High School- JA Personal Finance
High School- JA Success Skills
High School – JA Titan
Number of Students:*
Number of Students
For elementary, preferred class time:
Please note that preferred class times are not always guaranteed. We will do our best to accomodate your schedule.
- Select One -
AM
PM
Flexible
For middle and high school, list class days/times:
For middle and high school, list class days/times
Do you need a bilingual volunteer?:*
Do you need a bilingual volunteer?
No
Yes, if available
Requesting more than one class? Please explain:
If your grade level is departmentalized and you would like one teacher to receive all of the JA volunteers for your grade, please explain here. Include specific times and days for each class. You will receive a separate volunteer for each class.
Elementary Teachers: If your grade level is departmentalized and you would like one teacher to receive all of the JA volunteers for your grade, please explain here. Include specific times and days for each class. You will receive a separate volunteer for each class.
Questions or Comments:
Questions or Comments
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* Required
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