Teacher Class Registration

Date:

City:

Title: Mr. Ms. Mrs.

First Name: Last Name:

School: Grade:

Room #: Number of Students:

Class Subject: School Phone:

Email: Conference Period:

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

Do you have a volunteer you can recruit or would recommend for your class?
If so, please provide:

Name: Daytime Phone: E-mail:

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