Returning JA Classroom Volunteers

Consultant Application

Please complete the following information and click "submit" to sign up as a JA classroom volunteer.  Thank you for all you do for Junior Achievement!

Title:     First Name:    Last Name:  

Gender: Male: Female  

Spouse's name (if applicable): 

Other name(s) you have used: 

Mailing Address: 

City, State, ZIP: 

Preferred Phone: 

Preferred Email: 

Work/Business information (if no employer listed please check one of the following): Stay at home parent: Retired: Student: Other

Employer (Company/Organization): 

Address: 

City, State, ZIP: 

Main Phone:   Direct Line:   Fax: 

Street Address (if different from mailing address): 

Work Email:   Position/Title: 

Preferred MAILING Address: Home: Work           Preferred PHONE: Home: Work (direct line)

School/Teacher you previously volunteered with:

School: 

Teacher:      Grade: 

JA Program:   

Would you like us to notify your employer of your participation as a JA volunteer? Yes: No

If Yes, person to be notified: 

Address (if different from work address): 

City, State, ZIP: 

Did you participate in JA as a student?: Yes: No

Ethnicity: 

JA Volunteer Conduct Agreement/Child Abuse Policy:

I have reviewed Junior Achievement's Volunteer Conduct Standards and have read, understood, and will abide by these policies. 

Check here: Yes 

By checking this box and clicking "submit" you agree to adhere to all JA volunteer policies and guidelines when serving as a JA classroom volunteer.  Thank you for your support of Junior Achievement and our students!

 

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