YOUR SCHOOL OR ORGANIZATION
*
School or Organization
LEAD TEACHER FOR THIS EVENT
*
First Name
Last Name
EMAIL
*
example@example.com
PHONE NUMBER FOR CONTACTING THE DAY OF THE EVENT
*
Please enter a valid mobile number.
Format: (000) 000-0000.
HOW MANY STUDENTS WILL BE ATTENDING
*
Number of Students That Will be Attending
DO YOU HAVE JUNIORS OR SENIORS INTERESTED IN PARTICIPATING IN THE SPECIAL JUNIOR / SENIOR SESSION WITH OUR SPONSORS? This will take place during your scheduled time. This is a great opportunity to talk with these companies about future careers, internships, apprenticeships, or interview for a job. Please send the names of those students to crystal.steiner@ja.org by October 21.
Yes
No
Maybe
PLEASE PICK TWO TIME SLOTS THAT WORK BEST FOR YOUR SCHOOL. A SCHEDULE WITH YOUR ASSIGNED TIME WILL BE EMAILED TO YOU FOR YOUR APPROVAL.
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8:30 am -9:30 am
9:30 am-10:30 am
10:30 am - 11:30 pm
11:30 am - 12:30 pm
I would prefer a 1.5 hour time slot. If so, please put the 1.5 hour time slot you would like in the special request below.
DO YOU HAVE ANY SPECIAL REQUESTS/CONCERNS?
*
Submit
Should be Empty: