Name: Company/Organization:
Address: City: State, Zip:
Phone: Email:
Years I participated in JA as a student (shift and click for multiple selections): School Name:
As a JA student, I participated in this program (shift and click for multiple selections):
List Product Sold in Company Program (if selected above):
List Program Name for In-School Program (if selected above):
As a result of my participation in JA, I became a classroom volunteer: yes: no
School Name I Volunteered In: Grade Level(s) Taught:
Years I Volunteered for JA:
______________________________________________________________________________________________
The memories and experiences we hope you’ll share, capture the very best of Junior Achievement's exciting record of success. Historically our students have done amazing things. And from what we hear, they continue to do the same as adults!
For more information, or to share your own story of success, please contact Lauren O'Leary at loleary@jawesternpa.org or call 800-522-6957, ext. 125.