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Volunteer & Teacher Completion Statement Form
"
*
" indicates required fields
I am a(n):
Educator
Volunteer
Basic Information
Name
*
First
Last
Primary Email
*
Your Phone Number
*
School Information
School name where JA was taught
*
Classroom teacher name
*
Who was your JA Education Manager?
*
Please select one
Abigail Franco
Maggie Jones
Miriam Robles
Taylor Schulte
Micaela Barber
Lauren Allen
Cat Hoth
Abigail Franco
Unsure/Other
Grade Taught
*
Please select one
K-6th
7th-8th
9th-12th
Other
JA Program Taught
*
Kindergarten - JA Ourselves®
1st Grade - JA Our Families®
2nd Grade - JA Our Community®
3rd Grade - JA Our City®
4th Grade - JA Our Region®
5th Grade - JA Our Nation™
JA More Than Money
JA Economics for Success®
JA It’s My Future™
JA Career Speaker Series
JA Inspire
Other
JA Program Taught
*
JA Personal Finance
JA Economics for Success®
JA It’s My Future™
JA Career Speaker Series
JA STEM Summit
JA Inspire
JA Excellence Through Ethics
JA Program Taught
*
JA Career Speaker Series
JA Inspire
JA You're Hired
JA Job Shadow
JA Personal Finance
JA Excellence Through Ethics
JA STEM Summit
JA Be Entrepreneurial®
JA Career Success™
JA Economics®
JA Titan®
JA Launch Lesson
JA Student Stock Market Challenge
JA It's My Job
Did a volunteer teach any of the lessons?
*
Yes
No
If you answered yes, please enter the volunteer name:
How many JA lessons were completed?
*
Please select one
3
4
5
6
Other
I certify that I completed the above program in accordance with JA USA Implementation standards.
*
Yes
No
Educator Feedback
I would recommend JA programs to another educator
*
1 - Strongly Disagree
2 - Disagree
3 - Agree
4 - Strongly Agree
N/A
Please explain why you provided that rating
JA staff was supportive
*
1 - Strongly Disagree
2 - Disagree
3 - Agree
4 - Strongly Agree
N/A
JA staff was supportive
*
1 - Strongly Disagree
2 - Disagree
3 - Agree
4 - Strongly Agree
N/A
Please explain why you provided that rating
My JA volunteer was adequately prepared
*
1 - Strongly Disagree
2 - Disagree
3 - Agree
4 - Strongly Agree
N/A
Please explain why you provided that rating
My JA volunteer successfully established a rapport with my students
1 - Strongly Disagree
2 - Disagree
3 - Agree
4 - Strongly Agree
N/A
Please explain why you provided that rating
The activities of the JA program were effective in engaging the students
1 - Strongly Disagree
2 - Disagree
3 - Agree
4 - Strongly Agree
N/A
Please explain why you provided that rating
Volunteer Feedback
I would recommend volunteering with JA to a friend or co-worker
*
1 - Strongly Disagree
2 - Disagree
3 - Agree
4 - Strongly Agree
N/A
Please explain why you provided that rating
My JA staff contact was helpful and supportive (if needed) throughout my experience
*
1 - Strongly Disagree
2 - Disagree
3 - Agree
4 - Strongly Agree
N/A
Please explain why you provided that rating
I would be interested in volunteering again
*
1 - Strongly Disagree
2 - Disagree
3 - Agree
4 - Strongly Agree
N/A
Please explain why you provided that rating
I would be interested in volunteering in the following way(s):
At JA events
In JA BizTown or JA Finance Park
In a classroom
At a JA Money in Motion simulation
At the JA office
I had the training and tools to prepare for teaching my JA program
*
1 - Strongly Disagree
2 - Disagree
3 - Agree
4 - Strongly Agree
N/A
Please explain why you provided that rating
The teacher remained in the classroom while the students were present.
Yes
No
Please provide any feedback or recommendations for the future:
Please share a short story that illustrates the impact of JA programs on the students so that we can share it with others – a funny moment, an anecdote, or a light-bulb moment:
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