2024-25 JA Classroom Sign-up Form

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* 1. Please provide your name and company:

First Name

Last Name (If recently changed, please indicate former name in parentheses)

Company (NA if not applicable)

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* 2. Please provide your email address(es) below and indicate the one you prefer JA to use. (JA USA requires each volunteer to have their own unique email listed in the system.)

Work Email

Home Email

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* 3. The email I prefer for JA to use:

Work Email

Home Email

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* 4. If you are a new volunteer or have any updates to your contact information, please provide the below details. Please include an asterisk (*) behind the address and phone number you prefer JA to use.

Work Mailing Address (PO Box if applicable)

Work City, State, Zip

Mail Code (if applicable)

Home Address

Home City, State, Zip

Work Phone

Cell Phone

Home Phone

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* 5. Please provide your supervisor's information:

Supervisor's First and Last Name

Supervisor's Email Address

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* 6. New Volunteers Only: How did you hear about JA?

Through my company

Through a friend

Through a teacher

Through a family member

Other

Please list the name if you were referred by a JA volunteer or teacher.

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* 7. Before filling out your request below, please double check the grade levels JA offers in your community by clicking on your community. (The grade levels indicated are in the process of being finalized and are subject to change.)
Key for grades with an asterisk:
6* & 7* = 3-6 Sessions taught in one day
8* = JA Inspire (No volunteers needed except at the live event.)