JA Ambassador Nomination Form
Junior Achievement of San Diego County
Participant Name
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First Name
Last Name
Participant Age
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Participant Email
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example@example.com
Participant Phone Number
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-
Area Code
Phone Number
Participant School / Organization
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How did you hear about this program?:
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Please consider me for a Program Scholarship
Participant Narrative
Please answer the following application questions:
Please share with us your general background information, including but not limited to, interests, values, family, and educational goals.
Describe the most significant challenge you have faced and the steps you have taken to overcome this challenge.
How have you positively impacted your community and how will your participation in this program positively impact your community?
Junior Achievement’s mission is to connect young people to industry by pairing students with mentors. What industries or career pathways are you most interested in?
Are you nominating on behalf of a participant? If yes, please answer the questions below. If self-nominating, please continue to the end of the application.
*
Yes
No
Your Name
First Name
Last Name
Relationship to Participant
Please share with us the participant's general background information, including but not limited to, interests, values, family, and educational goals.
What unique qualities does this participant possess that sets them apart from their peers?
How can a program like this benefit the student you are nominating? What kind of impact will this program have on your participant?
Junior Achievement’s mission is to connect young people to industry by pairing participants with mentors. What industries or career pathways is the participant most interested in?
Participant Signature / If under the age of 18, please have a parent/guardian signature
Submit
Should be Empty: