2010-2011 School Year
Class Completion Form

After your final lesson, please complete this form and submit it to the JA Office.

Volunteer Name: 

Firm/Organization:: 

Telephone Number: 

E-mail: 

School: 

City of School: 

Teacher: 

Grade Taught: 

Today's Date: 

Class Information:

There were  students in my JA class.

I taught my class in the following semester:

 Fall 2009             Spring 2010

I have completed the following number of lessons: 

Required number of lessons per program:
     Elementary School Program (K-5th grades) - 5 lessons
     Middle Grade Programs (6th-8th grades) - 5-7 lessons
     High School Programs (9th-12th grades) - 5-7 lessons

Comments: 

If you need to contact us, please call us at
(432) 682-4966