Middle/High School Class Request 2018/2019 School Year
As A JA Teacher, I Will: check each
*This information is for statistical purposes only. Not required, but appreciated.
We will never share your home address with anyone outside of our office. Used for gift & greeting card mailings.
This information is used for scheduling purposes with your volunteer. Provide the best possible contact information.
Would you like your volunteer from last year (if applicable) to return? (Only check one option.)
For each class you would like to participate in the JA Program, please enter information for the following six criteria:
Grade, # of Students, JA Program, Class Time, Semester, Day of Week (List below for each class, separate with commas)