JA Inspire School Registration Form | Junior Achievement of Arizona

School Contact Information

School Name*

School Phone*

School Address*

Street Address City State / Province / Region ZIP / Postal Code

Coordinator Name*

First Last

Coordinator Phone*

Coordinator Email*

Principal Name*

First Last

Principal Phone

Teacher Registration

For each teacher registering, please list their name, email, grade, and number of students participating.

Teacher #1

Name Email Grade # of Students

Teacher #2

Name Email Grade # of Students

Teacher #3

Name Email Grade # of Students

Teacher #4

Name Email Grade # of Students

Teacher #5

Name Email Grade # of Students

Teacher #6

Name Email Grade # of Students

Teacher #7

Name Email Grade # of Students

Teacher #8

Street Address Address Line 2 City State / Province / Region

Teacher #9

Street Address Address Line 2 City State / Province / Region

Teacher #10

Street Address Address Line 2 City State / Province / Region

Teacher #11

Street Address Address Line 2 City State / Province / Region

Teacher #12

Name Email Grade # of Students

Additional Comments

Consent*

By checking this box, I agree to the following items:

Junior Achievement Responsibilities:
• Junior Achievement offers its curriculum to individual classrooms and will provide materials free of charge.
• Junior Achievement will train teachers as needed and will provide support throughout the JA program.

Principal Responsibilities:
• Principal will allow JA staff to speak at a faculty meeting to train and review curriculum with teachers.
• Principals agree that JA staff can communicate directly with teachers to coordinate programs.
• Principal will agree to allow students to attend the JA Inspire Virtual Expo online, March 26th, 2021, interacting with the virtual vendors in accordance with JA USA COPPA Agreement (attached).
• Principal reviews and agrees with teacher/coordinator responsibilities listed below.

Coordinator Responsibilities:
• Coordinator agrees to help coordinate teacher training.
• Coordinator assists with scheduling JA Inspire preparatory programming and event attendance.
• Coordinator assists with collection of pre- and post-student surveys from teachers.
• Coordinator works with JA staff to determine the number of students participating in JA Inspire Virtual event.

Teacher Responsibilities:
• Teachers will work with JA staff to ensure that all sessions of JA Inspire are completed.
• Teachers will reserve class time for students to actively engage in the JA Inspire Virtual Career Fair.
• Teachers will help students explore the JA Inspire Virtual Career Fair and utilize student digital backpack and Student Digital Career Book, during and after their initial JA Inspire Virtual visit.
• Teachers will ensure that students complete the pre- and post-surveys and return them to JA Staff.

Educator, Coordinator, or Principal Signature*

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JA Inspire School Registration

School Contact Information

Teacher Registration