Form

Submit this form online to sign up or print it out and send by mail, Davidson county school mail (route #6) or fax (297-8514).

Choose

I am flexible regarding when I receive a volunteer to teach the JA program.

I need to do the JA program at a particular time of year (Please indicate below)

(Indicate Month/Semester)

First Name

Last Name

School Name

Home Address

City

State

Zip Code

Home Phone (Confidential)

School Phone

Alternate Phone

E-mail

Gender

Male Female

Ethnicity*

* This information is used for general statistical purposes only and, while not required, is appreciated.

Grade

Planning Period

Number of Students

Times during the day a volunteer CANNOT visit:

Lunch

JA Programs Available:

Elementary (K-5)

K - Ourselves, 1 - Our Families, 2 - Our Community, 3 - Our City, 4 - Our Region, 5 - Our Nation

Middle (6-8)

The Economics of Staying in School, Global Marketplace, Economics for Success, JA America Works

High (9-12)

Success Skills, Personal Finance, Economics, JA Titan

Afterschool Programs
JA Dollars and $ense (grades 3-5), JA Its My Business! (grades 6-8), JA Company Program (grades 9-12)

Complete the following Program and Time indicators if you have multiple class sections:

Please specify the following for each section in which you would like the JA program.

Program Desired

What time period?

Program Desired

What time period?

Program Desired

What time period?

Program Desired

What time period?

Program Desired

What time period?

What subject(s) do you teach?

I get a different group of students (pick one):

Attention Teachers! Request your JA Volunteer! If you would like to request a past volunteer, please indicate so in the "notes" field below. Please provide us with their name or year they taught your class. Additionally, if you would like to recommend a new volunteer please indicate so, providing their name and contact information so that we may follow up with them.

Other Notes

Please Remember:

As soon as you are notified of a volunteer match, please contact your volunteer promptly to set up your schedule of visits, regardless of when the class will occur.

Have the students prepared and ready for the volunteer's visit; create a postive learning atmosphere.

Remain in the classroom at all times, maintain discipline of the students and create a respectful environment for the volunteer.

Let the JA staff know of any difficulties immediately.

Form

Junior Achievement Teacher Agreement