JA Inspire Request Form

1
Name* This field is required.
First Name
Last Name
2
Email* This field is required.
example@example.com
3
School District* This field is required.
4
School* This field is required.If completing for your entire district, and you have more than one school, please type "all" and include school information in an uploaded spreadsheet on this form.
5
Next, you will be asked to input teacher names, emails, student counts, etc. for all of the teachers who will be teaching the JA Inspire curriculum and participating in Mission Tomorrow: Next Generation at your school on November 10th or 12th.

You may choose to type this information into a grid on this form for up to 8 teachers per submission, or you may choose to upload a spreadsheet with all of the requested information instead.

If you are teaching this program too, please remember to include yourself.
6
Would you prefer to type teacher information in or upload a spreadsheet of teacher information?* This field is required.
Type it in.
Upload a spreadsheet.
7
Please complete for all of the teachers who will be teaching the JA Inspire curriculum at your school.* This field is required.Don't forget to include yourself if you're teaching too. Scroll down to see all fields. If you are completing this form for more than 8 teachers, complete the form more than once, or click "previous" to upload a spreadsheet instead.
First Name
Last Name
Email
# of Students
# of Periods
Grade Level(s)
Teacher 1
Teacher 2
Teacher 3
Teacher 4
Teacher 5
Teacher 6
Teacher 7
Teacher 8
Teacher 1
Teacher 2
Teacher 3
Teacher 4
Teacher 5
Teacher 6
Teacher 7
Teacher 8
First Name
Last Name
Email
# of Students
# of Periods
Grade Level(s)
First Name
Last Name
Email
# of Students
# of Periods
Grade Level(s)
First Name
Last Name
Email
# of Students
# of Periods
Grade Level(s)
First Name
Last Name
Email
# of Students
# of Periods
Grade Level(s)
First Name
Last Name
Email
# of Students
# of Periods
Grade Level(s)
First Name
Last Name
Email
# of Students
# of Periods
Grade Level(s)
First Name
Last Name
Email
# of Students
# of Periods
Grade Level(s)
First Name
Last Name
Email
# of Students
# of Periods
Grade Level(s)
1 of 8
8
Please upload a spreadsheet (.csv, .xls, .xlsx) for all of the teachers who will be teaching the JA Inspire curriculum in your school/district. It should contain the following columns:* This field is required.School | First Name | Last Name | Email | # of Students Taught JA Inspire | # of Periods | Grade Level(s)
Drag and drop files here
Select files to upload
Cancelof
Should be Empty: