JA Volunteer Information Form 2009-2010
Required Required Question(s)
Progress: 
 

Thank you for your interest in becoming a JA Volunteer for the 2009 - 2010 school year.  Please complete the below form. 

All volunteers are asked to complete a new form for every school year in which they participate in the program.  If you have any questions, please contact Rebecca MacGregor, Program Manager, at 413-747-7670 or at rmacgregor@jawm.org.

 
Required 1.

Please enter your name and home contact information below.
First Name:
Last Name:
Home Phone:
Email Address:
emailaddress@xyz.com
Address 1:
Address 2:
City:
State/Province
(US/Canada):
Postal Code:

2.

Please provide the name and contact information for your place of employment (if applicable). 

Every year Junior Achievement will run a "Thank You" advertisement in a Sunday Republican.  All volunteers and employers will be listed.  Volunteers without company information will be listed as "Community Volunteers". 

 

  • 350 characters left.
3.

Salutaion:
Mr.
Ms.
Mrs.
Other  
4.

Ethnicity:
This information is helpful to JA when we apply for grants, as some organizations choose to support various volunteer demographics (i.e. the Latino Chamber may support programs engaging Hispanic volunteers).
African American
Asian
Caucasian
Hispanic
Multi-Racial
Other  
Required 5.

The best form of contact for a JA staff member or teacher to reach me at is:
Check all that apply
Home Phone
Work Phone
Cell Phone (please provide number below)
Email
Other  
  • Comment:

  • 500 characters left.
Required 6.

Have you ever been convicted or pleaded nolo contendere of a misdemeanor or felony involving a child?
Yes
No
7.

Please indicate your program and/or grade level preference:
Check all that apply
Ourselves (K)
Our Families (1st Grade)
Our Community (2nd Grade)
Our City (3rd Grade)
Our Region (4th Grade)
Our Nation (5th Grade)
Global Marketplace (Middle School)
JA America Works (Middle School)
JA Economics for Success (Middle or High School)
JA Company Program (Middle or High School)
JA Banks in Action (High School)
JA Be Entrepreneurial (High School)
JA Business Ethics (High School)
JA Careers with a Purpose (High School)
JA Economics (High School)
JA Exploring Economics (High School)
JA Titan (High School)
JA NEFE Financial Planning (High School)
JA Success Skills (High School)
  • Comment:

  • 500 characters left.
8.

Which delivery method would you prefer to volunteer with Junior Achievement?
Check all that apply
Traditional, once a week for 5 - 7 weeks, with 30-60 minute visits
JA in a Day program, one day for 3 - 5 hours
  • Comment:

  • 500 characters left.
9.

Please indicate the time of year you would prefer to volunteer:
Check all that apply
ANYTIME (October - June)
Fall (October - December)
Winter (January - March)
Spring (April - June)
  • Comment:

  • 500 characters left.
10.

If you have a town, school, or teacher preference, please indicate below:
 

  • 350 characters left.
11.

Would you be interested in volunteering in more than one classroom this school year?
Yes
Maybe
No
  • Comment:

  • 500 characters left.