2022-2023 School Registration

2023 JA Inspire School Registration

Thank you for your interest in participating in the JA Inspire program. We are currently accepting requests for the 2022-2023 academic year. This year's in-person expo will be hosted at the Agricenter from May 16th-18th. Please complete the form entirely, and our staff will be in contact with you. The deadline for registration is March 31st, 2023.
Did you participate in JA Inspire last school year 2021-2022?*

YesNo
Are you an educator or community partner?*

EducatorCommunity Partner
School Information
School Name:*
School Address:*

Street Address

Street Address Line 2

CityState

Zip Code
School Phone:*
Please enter a valid phone number.
Principal's Name:*

First NameLast Name
Principal's Email:*
example@example.com
School Coordinator Information
Please designate a faculty member to serve as your school coordinator and include their information on this form. This person will work directly with JA staff throughout the entire process.
School Coordinator's Name:*

First NameLast Name
School Coordinator's Email:*
example@example.com
School Coordinator's Cell Phone:*
Cell number is required for on-site emergency contact at the career expo. If the on-site contact will be different from the school coordinator, please email the on-site contact's name and cell number to inspire@jamemphis.org.
Teacher & Classroom Information (Read Instructions Carefully)

Enter the information for each teacher that will deliver the JA Inspire curriculum in their classroom. If a teacher will deliver the program to multiple classes, please indicate that total in the third box. Next, enter the total number of students for all classes assigned to that teacher. If you have multiple teachers delivering the program, click the gray button to add the information for the next teacher and so forth until all teacher information is captured.
Enter Teacher Information Here:*
Time Slot Preference

For the in-person expo, we ask you to choose your preferred time slot. If you are not interested in the in-person expo, please select N/A. Space is limited, so you may not get your first choice time slot. We will be in touch to finalize details and confirm your registration.
What is your preferred time slot for the in-person expo?*
Once you click the "Submit" button, you will be redirected to DocuSign to review and sign the following:

1) JA Inspire School Participation Agreement

2) JA USA's Children's Online Privacy Protection Act (COPPA) Agreement

These forms must be signed by a school representative in order for your school to participate in the program. If you have questions, please contact our team at inspire@jamemphis.org.
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2023 JA Inspire School Registration

School Information

School Coordinator Information

Teacher & Classroom Information (Read Instructions Carefully)

Time Slot Preference