JA Verification Form
Full Name
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First Name
Last Name
E-mail
*
Are you the classroom teacher or JA volunteer?
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Classroom Teacher
JA Volunteer
Choose One.
Please tell us how you engaged your JA volunteer
*
I used the JA recorded volunteer videos.
I had an in-person volunteer.
I had a virtual volunteer.
I did not have a JA volunteer.
Not applicable, I am the JA volunteer.
Other
If you had a LIVE virtual volunteer, please tell us their name:
JA Program Completed
*
Please Select
JA Ourselves
JA Our Families
JA Our Community
JA Our City
JA Our Region
JA Our Nation
JA More than Money
JA Global Marketplace
JA Economics for Success
JA America Works
JA It's My Business
JA It's My Future
JA Company Program
JA Exploring Economics
JA Be Entrepreneurial
JA Job Shadow
JA Career Success
JA Titan
JA Personal Finance
JA Economics
School Name
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Grade
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Number of Students in Class
*
If multiple grade levels were listed above, specify the number of students per grade here.
Completion Date
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By selecting Agree, I verify the required number of lessons for the above program were taught and that the number of students recorded above is accurate.
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Agree
I would like to sign up for next year.
Yes
No
Not Sure
If you listed 'no' or 'not sure' please indicate why here:
We'd love your feedback! Please share any comments that you may have.
May we share your comments and name for marketing materials to promote JA?
Yes
No
Please share my comments, but I'd prefer to remain anonymous
Enter the message as it's shown
*
Submit
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