Junior Achievement Volunteer Application
Thank you for volunteering for Junior Achievement. Please contact us with any questions.
Cedar Rapids Area: 319-862-1100
Cedar Valley Area: 319-274-0760
Iowa City Area: 319-862-1100
* Required
Name (First and Last and M.I.)
*
Your answer
Home Address (street address)
*
Your answer
Home City, State and Zip
*
Your answer
Home Phone
Your answer
Home Email Address
*
Your answer
Birthdate
*
MM
/
DD
/
YYYY
Current Employer
Your answer
Work Address (include address, city, state and zip)
Your answer
Job Title
Your answer
Which career cluster best describes your career?
*
Choose
Agriculture, Food, and Natural Resources
Architecture and Construction
Arts, Audio/Video Technology, and Communications
Business, Management, and Administration
Education and Training
Finance
Government and Public Administration
Health Science
Hospitality and Tourism
Human Services
Information Technology
Law, Public Safety, Corrections, and Security
Manufacturing
Marketing, Sales, and Service
Science, Technology, Engineering, and Mathematics
Transportation, Distribution, and Logistics
Work Phone
Your answer
Cell Phone
*
Your answer
Male or Female
*
Female
Male
Work Email Address
Your answer
Work Supervisor's Name
Your answer
Supervisor's Email
Your answer
Preferred Email Address to Contact You
*
Work
Home
Ethnicity
*
American Indian or Alaska Native
Asian
Black or African American
Hispanic or Latino
Native Hawaiian or Other Pacific Islander
White
Other:
Required
Did you have JA during your school career?
*
Yes
No
How did you hear about this volunteer opportunity?
Your answer
Are you a previous JA volunteer?
*
Yes
No
Have you ever been convicted of a felony?
*
Yes
No
Have you ever been convicted, or had an administrative finding, of violating any law involving child abuse, sexual abuse, physical abuse, sexual harassment or exploitation, or any other crime?
*
Yes
No
Do you currently have charges pending?
*
Yes
No
Other:
Are you currently partnered with a Junior Achievement classroom ?
*
Yes
No
Other:
For future reference, do you have a school preference, as to where you would like to volunteer?
*
Your answer
Grade Level Preference
*
Elementary
Middle School
High School
Any
Is there a time of year that works best for you to volunteer?
*
Fall
Spring
Either
Both
Are you able to teach more than 1 class a year?
*
Yes
No
Maybe
Would you be interested in hosting a student or teacher at your place of employment for a job shadow experience?
Your answer
Would you be interested in volunteering for JA In A Day (leading all sessions in a 3-3.5 hour time frame in one day)?
Yes
No
Maybe
Emergency Contact (name and phone number)
*
Your answer
Interested in supporting Junior Achievement programs financially?
https://www.juniorachievement.org/web//ja-easterniowa/donate-now
$10
$20
$25
$50
Other:
Does your employer match donations?
*
Yes
No
Maybe
Are you interested in volunteering for Special Events?
*
Yes
No
Maybe
Please electronically sign our volunteer conduct form here:
https://signnow.com/s/Tr1u3JWI
Once we receive all files we will be in touch! Thank you!
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