Information Form
JA Inspire curricula is part of JA’s work and career readiness pathway and leads to a culminating virtual career fair event. JA Inspire satisfies the need for schools to incorporate career development education within a school year and gives opportunities for career exploration. Please complete the JA Inspire Information Form below. (A member of our team will respond within 24-48 hours).
I want to register for JA Inspire, I am a
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Educator
Parent/Guardian
Student
Name
*
First Name
Last Name
E-mail
*
example@example.com
Mobile Number (We may text you)
*
School Name/Organization Name
*
School/Organization City
*
What month(s) would you prefer for JA Inspire to take place?
November/December
January/February
February/March
March/April
April/May
May/June
JA Inspire Participants I am interested in having the following students participate in JA Inspire (Check All that Apply)
Middle School Students (6-8th Graders)
High School Students (Grades 9th-12th)
Young Adults (17+)
Home School
Not Employed/Not in School or Training Program
Pre-Apprenticeship Participants
Career Technical Education Students
First Robotics Students
Youth Mentoring Group Participants
Student Club Participants
What is your estimated total # of students?
How did you hear about JA Inspire?
Have you participated in JA programs in the past?
Yes
No
I am interested in learning about other JA opportunities:
Yes
No
Additional Comments
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