JA BizTown Registration "*" indicates required fields CONTACT INFORMATIONFull Legal School Name* School Address* Street Address City State / Province / Region ZIP / Postal Code School Phone Number*Lead Teacher Name* Lead Teacher Phone*Lead Teacher Email* Principal Name* Principal Email* My school is a:* Private School Charter School Public School District Name* Junior Achievement Contact Person*Please select one from the list belowCLICK HERE TO SELECTCodie CancellieriLauren WardKelsey GriffinTaysia SneadUpon the completion of the curriculum, you will you be experiencing the:* In-Person Simulation Virtual Simulation Both In-Person and Virtual Simulations IN-PERSON SIMULATION FORMTypically schools recruit 16-25 parent volunteers for the in-person simulation day. Do you anticipate needing assistance finding volunteers?* Yes No Please complete the following for each participating teacher for the in-person simulation: (ALSO INCLUDE THE LEAD TEACHER'S CLASSES BELOW)Teacher #1:* Teacher First & Last Name Teacher Email Address Number of Students in Class Grade Level Indicate Yes or No if teacher will teach curriculum:* Yes No Teacher #2: Teacher First & Last Name Teacher Email Address Number of Students in Class Grade Level Indicate Yes or No if teacher will teach curriculum: Yes No Teacher #3: Teacher First & Last Name Teacher Email Address Number of Students in Class Grade Level Indicate Yes or No if teacher will teach curriculum: Yes No Teacher #4: Teacher First & Last Name Teacher Email Address Number of Students in Class Grade Level Indicate Yes or No if teacher will teach curriculum: Yes No Teacher #5: Teacher First & Last Name Teacher Email Address Number of Students in Class Grade Level Indicate Yes or No if teacher will teach curriculum: Yes No Teacher #6: Teacher First & Last Name Teacher Email Address Number of Students in Class Grade Level Indicate Yes or No if teacher will teach curriculum: Yes No Your JA BizTown SAVE THE DATE is:* Month Day Year VIRTUAL SIMULATION FORMDuring which semester will you run the program?* Fall Spring Do all students have access to a laptop or computer rather than a tablet?* Yes No Teacher #1 (Virtual):* Teacher First & Last Name Teacher Email Address Number of Students in Class Grade Level Teacher #2 (Virtual): Teacher First & Last Name Teacher Email Address Number of Students in Class Grade Level Teacher #3 (Virtual): Teacher First & Last Name Teacher Email Address Number of Students in Class Grade Level Teacher #4 (Virtual): Teacher First & Last Name Teacher Email Address Number of Students in Class Grade Level Teacher #5 (Virtual): Teacher First & Last Name Teacher Email Address Number of Students in Class Grade Level Teacher #6 (Virtual): Teacher First & Last Name Teacher Email Address Number of Students in Class Grade Level Δ
