Volunteer Information Form

First Name:   MI:   Last Name:  

Company (if applicable): 

Job Title (if applicable):  

 

We would like to thank your supervisor for supporting your volunteerism.

Immediate Supervisor: 

Supervisor Title:            

Phone: 

 

Please provide your work contact information below.

Address: 

City:         State:   Zip: 

Phone:      Fax:   Email: 

 

Please provide your home contact information below.

Address: 

City:         State:   Zip : 

Phone:     Fax:   Email: 

Where would you prefer to receive Junior Achievement of Central Pennsylvania information? 

Home Work

 

Please select the grade levels/programs you are interested in instructing.

Elementary School Programs (Grades K-6)

Ourselves (K)  

Our Families (1st Grade)  

Our Community (2nd Grade)  

Our City (3rd Grade)  

Our Region (4th Grade)  

Our Nation (5th Grade)  

JA After-school - JA Dollars & $ense* (3th, 4th, & 5th Grades)

Capstone Experience - JA BizTown Finance Park (5th & 6th Grades)

* After-school programs may be presented as an in-school or after-school program.

Middle School Programs (Grades 6-9)

JA Global Marketplace

JA Economics for Success 

JA America Works

JA BizKid$ (ages 9 - 14)

JA After-school - JA It's My Business* 

Capstone Experience - JA Finance Park 

* After-school programs may be presented as an in-school or after-school program.

High School Programs (Grades 9-12)

JA Economics 

JA Titan 

JA Banks in Action 

JA Success Skills 

JA Careers with a Purpose

JA Business Ethics 

The NEFE High School Financial Planning Program 

JA After-school - JA Company Program*

Capstone Experience - JA Job Shadow

* After-school programs may be presented as an in-school or after-school program.

 

Would you be interested in the following? (Please check all that apply.)

Teaching an elementary program for an entire school day (Make a Difference Day or "MAD" Day)

Teaching a special needs class

Teaching after-school programs (3:00 PM - 7:00 PM)

Teaching JA Programs in Spanish

Teaching at risk students

 

Please choose the counties where you would be able to volunteer:

Dauphin     Juniata     Lancaster     Lebanon     Mifflin  

Northumberland     Schuylkill     Snyder     Union

 

If you have a preference to teach in a specific school or with a specific teacher, please fill out the information below:

School Name:  Grade:  Teacher: 

 

Please select when you would like to volunteer. 

Fall Spring Both

How many years have you been a classroom volunteer? 

 

Equal Opportunity Information

Ethnicity (Please check all that apply.)

African American     American Indian     Asian American     Caucasian 

Hispanic     Hawaiian     Alaskan Native     Other

 

Gender (Please select one):Female Male