Volunteer For JA
Class Registration

IMPORTANT: This form should be completed by consultants after completion of your last class session. If you teach more than one JA program during a semester, you should complete a form for each class you teach.

TEACHER First Name TEACHER Last Name

School County Grade Level

Number of Students in class Semester: Fall: Spring

JA Program Used:

Class Time (for Middle or High School classes only):

Date First Session Held: Anticipated Date of Final Session:

VOLUNTEER First Name VOLUNTEER Last Name

VOLUNTEER Business: VOLUNTEER Email

VOLUNTEER Preferred Phone: Phone Type:

Check here if you are interested in teaching another JA class this school year.:

Check here if you are a parent of a child at this school.

Check here if you are retired.