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
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? *
Work Phone
Your answer
Cell Phone *
Your answer
Male or Female *
Work Email Address
Your answer
Work Supervisor's Name
Your answer
Supervisor's Email
Your answer
Preferred Email Address to Contact You *
Ethnicity *
Required
Did you have JA during your school career? *
How did you hear about this volunteer opportunity?
Your answer
Are you a previous JA volunteer? *
Have you ever been convicted of a felony? *
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? *
Do you currently have charges pending? *
Are you currently partnered with a Junior Achievement classroom ? *
For future reference, do you have a school preference, as to where you would like to volunteer? *
Your answer
Grade Level Preference *
Is there a time of year that works best for you to volunteer? *
Are you able to teach more than 1 class a year? *
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)?
Emergency Contact (name and phone number) *
Your answer
Interested in supporting Junior Achievement programs financially? https://www.juniorachievement.org/web//ja-easterniowa/donate-now
Does your employer match donations? *
Are you interested in volunteering for Special Events? *
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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