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JA BizTown Registration
"
*
" indicates required fields
CONTACT INFORMATION
Full 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 below
CLICK HERE TO SELECT
Codie Cancellieri
Lauren Ward
Kelsey Griffin
Taysia Snead
Upon 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 FORM
Typically schools recruit 16-25 parent volunteers for the in-person simulation day. Do you anticipate needing assistance finding volunteers?
*
Yes
No
How many of the minimum 16 volunteers will you need help recruiting?
*
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:
*
MM slash DD slash YYYY
VIRTUAL SIMULATION FORM
During 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
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