Teacher Class Registration

Date:

City: 

Select which level you teach: Elementary Junior High High School

Title: Mr.   Ms.   Mrs.

First Name:     Last Name: 

School:    Grade:    

Room #:       Number of Students: 

Class Subject:    School Phone:  

Email:    Conference Period: 

Junior High and High School Teacher Class Information

Zero:   Number of students:  First:   Number of students:  Second:   Number of students:  Third:   Number of students:  Fourth:   Number of students:  Fifth:   Number of students:  Sixth:   Number of students:  Seventh:   Number of students:

Please list your class times in the appropriate boxes that correspond with your class schedule AND the number of students in each class.

Have you hosted JA in your classroom before?: Yes No
(If not, JA staff will contact you for a required training)

Teacher Roles & Responsibilities

-Remain in your classroom at all times during the JA volunteer visits.

-Our volunteers are not licensed to be in a classroom alone.

-Our volunteers may need assistance with discussions or activities.

-Our JA volunteers rely on you to handle classroom management issues.

-Notify your JA Volunteer if you are planning to have a substitute or if plans for the day change.

-Notify the JA office immediately of any issues and/or change that may hinder the completion of the program in your classroom.

-Please thank your volunteer(s) and make them feel special! Example: Invite them back to volunteer for you again and /or create a way for your students to thank them as well i.e., JA banner, JA certificate, letter or card signed by the students, etc).

I have read and agree with the Teacher roles and responsibilities.

 Yes No