Nominate an outstanding student by Jan. 30th!
NOMINATE
About Us
Our Staff
Board of Directors
Careers
Alumni
JA Financials
Who We Serve
Get Involved
Our Programs
Volunteer
Partner
School Map
Free Online Resources
Events
News
Donate
About Us
Our Staff
Board of Directors
Careers
Alumni
JA Financials
Who We Serve
Get Involved
Our Programs
Volunteer
Partner
School Map
Free Online Resources
Events
News
Donate
Town 1 Educator Form
Educator Information
I have previously participated in a JA of Arizona program:
(Required)
Yes
No
Name:
(Required)
Dr.
Miss
Mr.
Mrs.
Ms.
Mx.
Prof.
Rev.
Prefix
First
Last
School:
(Required)
District:
(Required)
Preferred Email:
(Required)
Work
Personal
Email:
(Required)
Preferred Phone Number:
(Required)
Work
Personal
Phone
(Required)
Ethnicity:
(Required)
American Indian/Alaskan Native
Asian
Black
Hawaiian/Pacific Islander
Hispanic
White
Multi-Racial/Other
I prefer not to provide
JA Program Information
Please check the JA Program your class participated in this school year:
(Required)
JA BizTown
JA Finance Park
Grade Level:
(Required)
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Visit Date:
(Required)
MM slash DD slash YYYY
Photo Release
I grant Junior Achievement the irrevocable right and permission to: 1) Reproduce, use, re-use, publish, display, copyright and distribute all media taken in which I might appear and in connection with any and all media now known or hereinafter developed. 2) Reproduce, use, re-use, publish, display, copyright, and distribute the same, individually or in conjunction with other photographs, images, text, and/or captions in connection with any promotion, advertising, commercial, and publicity of Junior Achievement in all media in perpetuity. I also release and discharge Junior Achievement and their photographer(s), knowing that Junior Achievement and the photographer(s) are relying on this release at substantial cost, from any and all claims, demands and liability in connection with the use of such photographs/video in connection with Junior Achievement, including but not limited to claims for libel, invasion of privacy, rights of publicity and/or copyright infringement. I understand that the copyright to all media resides with Junior Achievement.
(Required)
By checking this box, I hereby grant Junior Achievement (JA) the right to photograph and/or video tape (hereafter called "media") me in conjunction with participating in a JA BizTown simulation.
I grant Junior Achievement the irrevocable right and permission to:
1) Reproduce, use, re-use, publish, display, copyright and distribute all media taken in which I might appear and in connection with any and all media now known or hereinafter developed.
2) Reproduce, use, re-use, publish, display, copyright, and distribute the same, individually or in conjunction with other photographs, images, text, and/or captions in connection with any promotion, advertising, commercial, and publicity of Junior Achievement in all media in perpetuity.
I also release and discharge Junior Achievement and their photographer(s), knowing that Junior Achievement and the photographer(s) are relying on this release at substantial cost, from any and all claims, demands and liability in connection with the use of such photographs/video in connection with Junior Achievement, including but not limited to claims for libel, invasion of privacy, rights of publicity and/or copyright infringement. I understand that the copyright to all media resides with Junior Achievement.
Signature
(Required)
You need to
enable JavaScript
in order to use the AI chatbot tool powered by
ChatBot