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 *
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School *
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County *
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Teacher Email *
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Teacher Phone Number *
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Grade *
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Number of Students (Best estimation) *
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Preferred Delivery Method
Preferred Time of Year for JA
Requested Volunteer or Past Volunteers (Please include contact info if available)
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Additional Comments/Notes
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