Volunteer Form: Junior Achievement of Eastern Iowa

Volunteer Form: Junior Achievement of Eastern Iowa

We are committed to keeping your personal information confidential. We do not sell, rent, or lease our contact data or lists to third parties, and we will not provide your personal information to any third party individual, government agency, or company at any time unless compelled to do so by law. 2024-2025
Name*

First NameLast Name
Preferred Name
Nickname
Previous Name
Previous Name/s you may have volunteered under
Birthdate*

MonthDayYear
Date
Gender*
Preferred Gender Pronoun
For additional options, visit: https://transstudent.org/graphics/pronouns101/
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Phone Type*
Ok to Text?*

YesNo
Texting limited to 1-2 times a month. Texts may include class placement, event participation, and marketing information specific to Junior Achievement of Eastern Iowa. We will not sell or distributeyour phone number in any way. Reply STOP to opt out at any time.
Primary Email*
example@example.com
Additional Fluent Languages
Please list any languages you are fluent in addition to English
Job Title
Career Cluster
Select a career cluster that best describes your career.
Employer *
If you are not currently employed, please write Community Volunteer
Work Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Supervisor
This information is collected so that we may recognize your volunteer commitment within your organization.
Supervisor Email
example@example.com
Supervisor's Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact Name*
Emergency Phone Number*
JA Alumni? *
Did you have Junior Achievement programming anytime during your school career?
Ethnicity*
Have you ever been charged and found guilty of a felony?*

YesNo
Do you have any pending criminal charges?*

YesNo
Have you ever been convicted, or had an administrative finding, of violating any law involving child abuse, sexual abuse, physical abuse, sexual harassment or exploitation, or any other crime?*

YesNo
Select the volunteer opportunity you are interested in (select all that apply):*

Classroom VolunteerJA BizTown®JA Finance Park®JA Career Inspire®JA Financial Literacy FairJA Career EventAny - Interested in learning more about all opportunities.

Classroom Volunteer Preferences
Time of Year that you prefer to volunteer (select all that apply)

FallSpringSummer
Geography (select all that apply)

Close to homeClose to employerNo Preference
Grade Level (select all that apply)

No PreferenceKindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th Grade12th Grade
School Level (select all that apply)

ElementaryMiddleHigh SchoolPost-High School
Program Delivery Format

JA In A Day (all activities taught in one day)JA Standard Delivery (5 to 6 visits, typically once a week for 5-6 weeks)No Preference
Are you a parent of a school-aged child and want to lead their JA class?

YesNo
Teacher Preference
List the name of a teacher you wish to work with.
School Preference
School and/or School District

JAEI General Volunteer Questions
How did you learn about this JA volunteer opportunity?

Social MediaBroadcast MediaPrint MediaFriendWorkSchoolJA Staff
Pass It On: Do you know anyone you think would make a great JA volunteer? If so, please provide their name and the best way for us to contact them:
Are you interested in other JAEI student volunteer opportunities?*

Yes, please email with details!No, not at this time.
Does your employer match donations?

YesNoMaybe

If you would like to financially support a student's experience with JA, please complete the donation information below.

prevnext( X )

USDDonation Amount

Credit Card

Type a question
Once you hit SUBMIT, you will be directed to the Volunteer Conduct Standards form and asked to electronically sign it. Please don't close out until this is completed. Thank you!

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