JA Worldwide

Teacher Registration - In Class Programs
one teacher per registration please

.*Asterisks denote where input is required!

*School Name:

  

*School Address:

  

*City: *State:  *ZIP Code: 

     Very important: Please use a local address where you can accept UPS deliveries.
     We cannot accept P.O. Boxes.  Please don't forget your suite number.

*Teacher's Name:

*Area Code:     *Phone/Cell Number: 

*E-mail Address:

Best Way to Contact Me:

Please list each CLASS for which you would like a JA program:

Student Grade Level(s) Estimated Number of Students Comments (if applicable)
Ex.  3rd Grade Ex.  22 Ex. Fall semester, meets 9-10am

Elementary Programs - Each grade level has a specific program.

Middle Grades - Typically, 6th graders learn JA Global Marketplace, 7th JA Economics for Success and 8th
     JA America Works, but the programs can be used in any grade 6-8.  If you'd like to see the programs and choose,
     visit Middle Grades In-Class Programs (link opens in new window) then mark down your choice in Additional
     Requests below.

High School - Please choose a program from High School In-Class Programs (link opens in new window) then mark
     down your choice in Additional Requests below.

Additional Requests:

How did you hear about JA?

Can you make a donation to JA?  YOU ARE NOT REQUIRED TO DONATE.

I am unable to make a donation and I understand I am not required to.

I want to donate by purchasing my JA Kits.  Please invoice me $100 per JA Kit.

I want to make a donation of some other amount.  Please send me a pledge card.

I am interested in attending one of JA's fundraising events.  Please send me information.

Please Read the Terms of Agreement:

.
Upon receipt of the Teacher Registration, Junior Achievement will reserve a grade level appropriate JA Kit for the teacher.  JA will attempt to recruit a volunteer, but a volunteer is not guaranteed.  However, a volunteer is required to present the JA program.  If a volunteer is not found, JA will not issue the reserved JA Kit.  The volunteer acquisition period begins with Teacher Registration and ends May 1st.  If a volunteer is acquired, the volunteer will contact JA to request the JA Kit and the volunteer will coordinate a meeting/communicate with the teacher to schedule the JA sessions.  The teacher and volunteer must facilitate the teaching of a specific number of required lessons (5 – elementary, 6 – middle, 7 – high school).  JA is available for support.  The teacher must remain in the classroom at all times during the sessions to manage the classroom and maintain good student behavior.

.

Indicate that you have read and understand Junior Achievement’s Terms of Agreement as stated above and will abide by these terms by choosing “Yes, I agree” below, typing in your name, then clicking the “Submit” button.

*Do you agree?  You must select 'Yes, I Agree' to receive JA programs.

*Electronic Signature:   *Date: 

Once you submit, someone from JA will contact you soon regarding your registration and to schedule a staff training (if applicable).