Request JA for Your Classroom!

Request JA for Your Classroom!

Complete Your Class Registration & Contact Information for the 2022-23 School year
Teacher's Name*

First NameLast Name
Gender

MaleFemaleNon-binaryPrefer not to disclose
Ethnicity

American Indian/Alaska NativeAsianBlack/African AmericanHispanic/LatinoNative Hawaiian/Other Pacific IslanderWhite/CaucasianMulti-RacialPrefer not to disclose
School Name*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
School Phone Number*

Area CodePhone Number
Cell Phone Number

Area CodeCell Phone Number
County located In
Teacher Email*
example@example.com
Which month(s) would you prefer for your JA Program to take place?

August/SeptemberOctober/NovemberNovember/DecemberJanuary/FebruaryFebruary/MarchMarch/AprilApril/MayMay/June
Please select the ideal time for programming

MorningsAfternoonsFlexibleOther
Have you hosted JA in your classroom previously?

YesNo
How many classes are you registering to receive Junior Achievement programs?
If registering more than one class, please list additional teachers names and their e-mail address:
Grade Level (s) In Your Class(es)
Estimated Number of Students In Your Class(es)*
Select a JA Program

Programs are segmented by (exceptions will be noted): Elementary (K-5th); Middle (6th-8th); High (9th-12th); or Specialized JA Programs for Middle and High School.

If you would like more information on our programs and program briefs, please click HERE. (if viewing program briefs, please use back arrow to return to this page).
Elementary JA Programs for Kindergarten through 5th Grades - Select one
Middle School JA Programs for 6th through 8th Grades - Select one
High School JA Programs for 9th through 12th Grades - Select one
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