Junior Achievement Volunteer Application
Thank you for volunteering for Junior Achievement. Please contact us with any questions.
319-862-1100
Name (First and Last and M.I.) *
Preferred Name / Nickname
Home Address (street address) *
Home City, State and Zip *
Home Phone
Home Email Address *
Birthdate *
MM
/
DD
/
YYYY
Current Employer
Work Address (include address, city, state and zip)
Job Title
Which career cluster best describes your career? *
Work Phone
Cell Phone *
If we can text you details about class placement, please provide your cell phone service provider:
Gender *
Work Email Address
Work Supervisor's Name
Supervisor's Email
Preferred Email Address to Contact You *
Ethnicity *
Required
Did you have JA during your school career? *
Parent of a school-aged child? *
Required
How did you hear about this volunteer opportunity?
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? * *
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?
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)?
Clear selection
Emergency Contact (name and phone number) *
Interested in supporting Junior Achievement programs financially? https://www.juniorachievement.org/web//ja-easterniowa/donate-now
Clear selection
Does your employer match donations? *
Are you interested in volunteering for Special Events? *
Every year, we ask volunteers to acknowledge the JA Volunteer Conduct Standards and Media Policy. This year, with virtual volunteering, we are also including a Digital Policy. Please read and acknowledge the policies here:
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy