JA BizTown - Portland Request Form
This request form is for our Portland JA BizTown facility, located at 7830 SE Foster Road. If you are looking to schedule a JA BizTown experience at our Hillsboro location, please copy this link - https://www.jotform.com/build/262535368094161 To request a JA BizTown experience for your school or classroom, please complete the information below. Our Portland Site Manager will follow up with you soon to answer any questions, share additional information, and help get you scheduled. We look forward to bringing JA BizTown to your students!
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
School Name
*
School Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Affiliation
*
Principal/School Administrator
Teacher
Parent
Volunteer
Other
Grade Level(s)
*
Estimated Number of Students
*
Ideal Month(s) for Simulation Date
*
Ideal 4 to 4 1/2 hour window for simulation times (i.e. - 9am-1pm)
Comments/Questions:
Submit
Should be Empty: