JA of North Central MI Program Request
Please provide the following information to request JA programming for the 2019/20 school year. We will be in touch to confirm when your request is accepted. Thank you!
Teacher Name *
School *
County *
Teacher Email *
Teacher Phone Number *
Grade *
Number of Students (Best estimation) *
Preferred Delivery Method
Clear selection
Preferred Time of Year for JA
Clear selection
Requested Volunteer or Past Volunteers (Please include contact info if available)
Additional Comments/Notes
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