2025-2026 JA Company Program: After-School Application: Suburban Sites

2025-2026 JA Company Program: After-School Application

Suburban Sites
This application is only for our suburban sites! Please note that in order to attend our City of Philadelphia Sites, you must attend a School District of Philadelphia School. If you are looking for the Philadelphia Application, please email stuart.younger@ja.org

Key Dates:

- Monday, November 3, 6pm: All Program Virtual Orientation

- Program will start Week of November 3th, and run through Mid-March

Key Information

- Meetings will take place at your host company's office building location and will run through mid-March.

- Please note that this is an in-person experience. As part of the committment, you are expected to attend a 2 hour meeting in-person each week.

- Students are responsible for their own transportation to their host site location.

Please fill this application out with a parent/guardian, they will need to sign the end of this application.

As a part of your application, you will need to fill out a Personal Inventory Essay. This should be about one (1) page typed. You will upload this on the 5th Page of the Application. JA highly recommends writing the essay before filling out this application. You can view the essay prompts below.

Applications will continue to be accepted until all spots are filled

In order to have the best chance be placed at your preferred host site, we recommend you submit your application as soon as possible.

Your responses should be typed and include your name and school.

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Application Table of Contents

Page 2: Student Information

Page 3: Emergency Contact Information

Page 4: Host Site Selection

Page 5: Information for Host Site

Page 6: Personal Inventory

Page 7: Understanding the Commitment (Parent and Student Signatures Required)

Student Information
Student Full Name*

First NameLast Name
What name do you like to be called?*
This will be used for name tags, etc.
Student Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
About Student Emails

- Your email adress should be professional and one that you would comfortable giving to an employer. Examples would include: JohnSmith@gmail.com or JSmith@gmail.com.

- Please do not use a school email.

- Students can create an email address for free with Gmail, Yahoo, etc.

- For students to be successful in this program, they will need to check this email at least once day for up to date program information, etc, just like they would for any potentially employer.
Student Email*

Confirmation Email
Student Cellphone Number*
Please enter a valid phone number.
This number is a student cell phone and the student/parent consent to the student receiving text messages from JA and host site mentors about JA Company Program

YES
School Name*
Grade in 2025-2026 School Year*
Please note that program participants must be enrolled in a high school in Southeastern PA for the 2025-26 school year in order to participate.
I plan to use my JA Company Program experience to fulfill a requirement for my school, such as service, internship, or graduation requirements, and I will need JA and/or my host site to provide attendance records and/or fill out forms.*

YesNot SureNo
What records will you need?*
Attendance Records? Forms filled out? Other?

Student Emergency Contact Information
Emergency Contact Name*

First NameLast Name
Emergency Contact Relationship to Student*
Emergency Contact Phone Number*
Please enter a valid phone number.
Emergency Contact Email*

Confirmation Email
Would you like to receive emails/newsletters at this address to stay in touch with JA?

Yes
Would you like to provide contact information for another Emergency Contact? (optional)

Yes
Additional Emergency Contact Name*

First NameLast Name
Additional Emergency Contact Relationship to Student*
Additional Emergency Contact Phone Number*
Please enter a valid phone number.
Additional Emergency Contact Email*

Confirmation Email
Would you like to receive emails/newsletters at this address to stay in touch with JA?

Yes

Host Site Selection

IN ORDER TO PARTCIPATE IN JA COMPANY PROGRAM, YOU ARE REQUIRED TO ATTEND THE WEEKLY MEETING IN-PERSON AT YOUR HOST SITE LOCATION EACH WEEK.

- As a reminder, students are responsible for transporting themselves to their host site each week for the meeting.

- Signing up for a spot at site is not a guarentee you will be offered a spot in JA Company Program or that you will be placed at that site. To achieve the best possible experience for everyone involved, JA may adjust placements. In the event we will be unable to place you at the site you selected, we will communicate with you the situation and the potential options.

Please select the host site you would like to attend below. We expect to receive a high number of applications for certain sites, so we recommend applying as soon as possible.

Host Site City	Host Company	Address	Date/Time
Collegeville	Pfizer	400 Arcola Rd, Collegeville	Tuesdays, 5pm-7pm
Ft. Washington	Lincoln Investment	601 Office Center Drive, Suite 300, Fort Washington	Wednesdays, 5pm-7pm
West Chester	Resolution Life	1475 Dunwoody Drive	Wednesdays, 5pm-7pm

In the event that a host site has more students apply than spots are avaliable, JA will assign students based on ensuring a mix of students from various communities and schools, when the application was received, and the quality and thoughfulness of Personal Inventory. Please note that having previously participated in JA Company Program is not a guarantee that you will be placed.

Please let us know your site preference*

Collegeville, Pfizer, Tuesdays, 5pm-7pmFt. Washington, Lincoln Investment, Wednesday, 5pm-7pmWest Chester, Resolution Life, Wednesday, 5pm-7pm

Student Information
Have you previously participated in JA Company Program*

YesNo
In what year(s) did you participate in JA Company Program*

2024-20252023-20242022-2023
What Site did you most recently attend*
Student Ethnicity
Used for statistical/reporting purposes information only.
Any allergies or dietary restrictions?
As dinner is provided each week as part of the program, this information will be shared with host sites
How do you pronounce the name you like to be called?
May be printed on a name tag
Your Preferred Pronouns
Optional, may be printed on a name tag
What other after-school activities do you plan to participate in this school year?

Personal Inventory Essay
**All students must complete a personal inventory**

Please name your file ", _peronal inventory

Ex: smith, john_personal inventory.docx

The JA Company Program® offers benefits to participants. Your experience in this program will help you pursue your goals, and provide you with tools to succeed in future academics and career choices.

Please answer the following prompt in a word document or PDF. Your response should be about a page, typed.

Upon being placed at a host site, your host site mentors will receive this personal inventory. Consider this personal inventory as your first impression to JA and your mentors. To help us find the best fit for you and to ensure that the program is meeting your expectations, please respond to the following questions:

Essay Topic For New Students (Please answer all questions):
- Why do you want to be a part of the JA Company Program?
- What skills/experience will you bring to your company?
- What are you goals for the JA Company Program?
- What skills do you expect to acquire?
Essay Topic For Returning Students (Please answer all questions):
- In one to two sentences, briefly summarize your previous JA Company Program experience. Name the host sites and student companies you were a part of, and roles/departments you held in those student companies.
- What are your goals for the JA Company Program?
- What skills and personal qualities will you bring to your company?
- What is your greatest personal accomplishment in JA Company Program so far? Why?
- What is the most impactful lesson you have learned in JA Company Program, and how do you hope to apply that lesson in the JA Company Program?
  
  Your responses should be typed and include your name and school at the top.
Upload your Personal Inventory Here*

Will only accept Word or PDF Formats
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Understanding the Commitment
STUDENT: Complete this page with a parent/guardian

Should you/your student be accepted into JA Company Program After-School, you will receive an invitation to finalize your/ your student's place in JA Company Program by signing some permission/consent forms via an eSignature provider. The terms below are not comprehensive or binding. We ask for your signature to acknowledge you understand the program commitment required.

For complete information about the 2025-2026 JA Company Program After-School, please review the FAQ, which can be found here.

1)    Attendance is mandatory

The 2025-2026 JA Company Program After-School is an in-person experience. There may be some optional connected activies that are virtual, and the weekly meeting may move to virtual in the case of inclimate weather, etc. Students are responsible for their own transportation to and from the host site.

Volunteer mentors will be donating their time and energy to mentor students and students will need to rely upon one another to achieve company goals. Please do not apply JA Company Program if you cannot commit to attending scheduled company meetings each week. Due to the accelerated and collaborative nature of the JA Company Program, it is very difficult to catch up on a missed meetings. Many JA Company Program students are involved in other activities, and we understand their might occasionaly be conflicts with JA Company Program meetings for actvities such as athletic contests, student conferences, regional/state competitions, concerts, etc. However, if a student is regularly absent, especially without notice, the program mentors may ask the student to leave the program out of fairness to other program participants.

Should a student be unable to attend a meeting, it is their responsibility to let their volunteer mentors know with as much notice as is appropriate. Each host site will share their attendance policy during the first meeting. Volunteer mentors are instructed to contact the student's emergency contact in the case of a student no-showing without notice.

The All Program Orientation will be on Monday, November 3, 2025 at 6pm, and meetings will occur on your designated meeting night/time starting the week of November 3 and running though Mid-March.

2)   JA Company Program is more than just meetings

JA Company Program is similar to a sports team, theater production, or band/orchestra in that to be successful, students will need to both participate in meetings as a group and individually on their own time. To accomplish student company tasks and the student's own development goals, students will also have to complete assignments outside of meetings as well as maintain regular attendance and participation at weekly meetings. Such assignments may include research and brainstorming or executing company tasks such as selling, promoting the company product/service, or attending a small group meeting virtually.

3)    Respect and Professional Conduct is mandatory

JA seeks to create professional business experience for all program participants and mentors. This includes students showing appropriate respect to fellow students and volunteer mentors at all times. Communications that are offensive, derogatory, inappropriate, bullying, discriminatory, disrespectful, etc. will not be tolerated and are grounds for dismissal from JA Company Program. (These are examples only and are not intended to be a comprehensive list) Should you ever be uncomfortable with communication(s) received from another student or volunteer mentor, please speak to JA Staff immediately.

4)    Communication

JA Company Program After-School brings together motivated high school students and business professionals to help high school students launch a company and meet their development goals. With all these moving parts, good communication across all levels is essential to successful JA Company Programs.

Students must regularly check their provided email address to ensure they have the most up-to-date program information. Each JA Company Program student group will also establish communication methods such as group texts, Microsoft Teams groups, and regular video conferences to colloborate outside of meetings in order to meet company goals.
Student Signature

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Parent Signature

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2025-2026 JA Company Program: After-School Application

Student Information

Student Emergency Contact Information

Host Site Selection

Student Information

Personal Inventory Essay

Understanding the Commitment