JA Last Class Verification Form

 

     If you have any questions, please call 1-866-KIDS-4-JA

 

Thank You for Volunteering for Junior Achievement, your experience is almost complete.

Please help us serve you better by providing answers to these important questions. 

 

The submission of the following information is required for ethical verification of program participation.

This is to confirm I have completed my JA program:
All fields marked with a red * are required.

 

Volunteer Information

Full Name:*   Company:*  

Phone:*            Phone Type: Work  Cellular  Home

E-Mail: *     Email Type:  Work   Personal

 

JA Class Information

School: *     Teacher:*  

Check the box next to the JA Program name completed

Elementary School

Middle School

High School

More than Money:

Our Families:

Our City: 

Our Community:

Our Nation: 

Our Region:

Ourselves:

JA America Works:

JA Economics for Success:

JA Global Marketplace:

JA It’s My Business:

JA Job Shadow:

JA Company Program: 

JA Economics:

JA Economics for Success:

JA Job Shadow: 

JA Success Skills

 

JA Class Completion Date: *        (mm/dd/yyyy)

Number of JA program activities taught: *    (Completed Classes)

Number of Students: *       (Total Students in JA Class)

Volunteer Recommitment

I would be happy to work with my teacher again in the future: Yes No

My Preferences for conducting a JA program are as follows:

 School:              Grade Level:

Program:  

 

 Additional Comments:

 

 

Were there any good stories, quotes or a student whose life you impacted:

 

   I state that the information above is as accurate as possible.

 Name:

 Date: *       (mm/dd/yyyy)

 

Confirmation of Class
By submitting this form you are confirming that information provided above is accurate and that you have read our

Volunteer Conduct Standards.
*  *
You will get an error if this box is not checked.