Program Details

Please take a few minutes and fill out the requested information. If you have any questions or concerns please contact Adia Howard-Stroud at (404) 257-1932

Personal Information
Please provide us with some information about yourself.
Last Name
First Name
Middle Name
Gender	Female Male
Home Address

Mailing Address If different from above

Email
Parent Email
Primary Phone	Home Cellular Other
Alternate Phone	Home Cellular Other
Mode of Transportation Please check all that apply	Car Parent / Guardian School Representative Marta (Ja provides passes)
Shirt Size For Volunteer Uniform
Shoe Size For Volunteer Uniform (please specify Mens or Womens)

Education Information
Please describe the highschool you attend.
High School Name
High School Address
Current Grade Level
Please list names of any friends who are also applying
How did you find out about the JA Fellows Program?	School Posters Website Counselor / Teacher Parent Friend
	Other

	Grade Level
Activities
Please list your extracurricular, community, and family activities and hobbies.
Activity	9	10	11	12	Approximate time spent

Employer	Title	Hours/Week	MM/YY
Work Experience
Please describe any of your past or current employment experience.

Personal Essay

These personal essay questions will help us get to know you better. It will demonstrate your ability to organize your thoughts and express yourself. Please answer all questions below.

What about the sports industry interests you, and why this program?

What are your life goals and what steps have you taken to achieve them?

What will you contribute to this program?

I understand that I will attend at least 4 out of the 5 required games and all programmatic workshops.

Note

You must still print out and complete both a Volunteer Consent Form and a Parent Consent Form and fax them to the Junior Achievement office:

Attn: Adia Howard-Stroud
Fax #: 404.843.3194