Sign Me Up!

We have a number of ways you can submit a volunteer application. You may click here to download a hard-copy application. Once completed, please email to Lisa Pignato at lisa@jarochny.org or please print the application and mail to Junior Achievement, 259 Monroe Avenue, Suite 108, Rochester, NY 14607; Attention: Lisa Pignato.

Or you can get started right now by filling out our online form:

Last Name First Name MI
Job Title:
Company Name:
Business Address: City State County Zip Code
Business Phone: Business Email Business Fax
Home Address: City State County Zip Code
Home Phone: Home Email Cell Phone

Birthday (Month and Day Only)

Grade Level Request? 

 

     

        School Request? 

I have never been convicted of a criminal offense and no criminal actions are pending against me.
Please Initial:
I have been convicted of the following criminal offenses (other than a misdemeanor traffic violation). Please explain and include the date of the conviction(s) in which you were convicted; and whether you have been issued a relief from disabilities or a certificate of good conduct with regard to the conviction(s):
I have a pending criminal charge(s) against me (other than a misdemeanor traffic violation). Please explain and include the date and jurisdiction of the charge:

 

 

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