Junior Achievement of West Texas, Inc.

Fill out the form below to be a JA volunteer.

Date:

Name:  First:  Last:

Company: Title:

Company Address:  MD/MS/MZ:

City:  State: Zip Code:

Work Phone: Ext.: Fax:

E-mail Address:

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Home Address:   Apt#:

City:  State: Zip Code:

Home Phone:     DOB: 

I prefer that all correspondence be sent to my: Home Address Office Address

Are you a returning JA volunteer? Yes No

Race/Ethnic Origin:

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School Preference: ( Optional )

1st:   2nd: 

Class Time Preferences: 8-11 am 11-1 1-3 pm    Semester: Fall Spring Both

How did you hear about us?

Prior JA Volunteer? Yes No 
If yes, please specify year, program and school below

 

CONDUCT STANDARDS 
(required)
Please read the Volunteer Conduct Standards below.  
All volunteers must agree and abide by these standards.  Please select the applicable button to 
complete your registration.


 
I AGREE  I DO NOT AGREE