2020-2021 VIRTUAL VOLUNTEER REGISTRATION FORM
Thank you for your interest in becoming a JA Virtual Volunteer with us! By being a JA Virtual Volunteer and sharing your personal and professional experiences and skills with students throughout South Florida, you help them make the connection between what they are learning in school and what they will need to succeed in work and life.
STEP 1: YOUR CONTACT INFORMATION
Help us know who you are and how you wish to be contacted by JA of Greater Miami. We ask volunteers for both work AND home contact information in the event of a life change.
Full Name
*
First Name
Last Name
Gender
*
Male
Female
N/A
Preferred Email Type
*
Work
Personal
Email
*
example@example.com
Preferred Phone Type
*
Work
Home
Mobile
Phone Number
*
-
Area Code
Phone Number
Please complete both sections below (work and home).
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Name of Company/Employer or Organization
*
Job Title
Company/Employer or Organization Address
Street Address
Street Address Line 2
City
State
Zip Code
Where would you like to receive mail from JA of Greater Miami?
*
Work/Organization address provided above
Home address provided above
Date of Birth
/
Month
/
Day
Year
Date
Ethnicity
*
African American
Alaskan Native
American Indian
Asian
Caucasian
Hispanic
Multi-Racial
Prefer not to answer
Please share your JA Volunteer experience level.
*
I'm a first time volunteer with JA!
I've volunteered with JA within the last 12 months.
I used to be a JA volunteer, but it's been a while.
I am registering as a:
*
Business Volunteer (affiliated with my company/employer)
Community Volunteer (not affiliated with any company/employer)
How did you hear about JA?
*
At my business/organization
From a friend or relative
At a Community Event
Through Social Media
Other
I agree to opt-in to receive email correspondence from Junior Achievement of Greater Miami.
*
Yes, I agree to opt-in.
No, I choose not to opt-in.
STEP 2: REQUIRED VOLUNTEER FORMS
Please read each form below. Your digital signature at the bottom of this form will confirm that you have read, understand and will comply with these policies.
Volunteer Conduct Standards - Required Reading
Social Media Policy for Volunteers - Required Reading
Digital Media Release Consent Form - Required Reading
STEP 4: YOUR DIGITAL SIGNATURE
Please indicate that you have read the policies above and the information provided. Then sign below and our Education Team will be in touch shortly!
My digital signature below indicates that (check each one):
*
I have answered this form truthfully.
I have read and agree to follow the Conduct Standards as provided above.
I have read and agree to follow the Social Media Policy as provided above.
I have read and agree to the conditions outlined in the Media Release Acknowledgement Form as provided above.
I acknowledge that any submission of digital video may be used in marketing material and broadcast through online social media outlets.
I am prohibited from promoting any product, good, service or program that benefits me directly or indirectly.
Please use your computer mouse or finger (if touch screen) to sign your name below.
*
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