"*" indicates required fields I am a(n): Educator Volunteer Basic InformationYour Name* First Last Primary Email* Your Phone Number*School InformationSchool name where JA was taught* Classroom teacher name* Who was your JA Education Manager?*Please select one Aden Ramirez Carolyn Gorst Maggie Jones Miriam Robles Taylor Schulte Teojia Williamson Cindy Ballantyne Brittany Wilson Unsure/Other Grade Taught*Please select one K-6th 7th-8th 9th-12th Other JA Program Taught*Please select one 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 Economics for Success® JA It’s My Future™ JA It’s My Business!® JA Global Marketplace® JA Career Speaker Series JA Inspire JA Program Taught*Please select one JA Personal Finance JA Economics for Success® JA It’s My Future™ JA It’s My Business!® JA Global Marketplace® JA Career Speaker Series JA STEM Summit JA Inspire JA Excellence Through Ethics JA Program Taught*Please select one 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 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 FeedbackI 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 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 FeedbackI 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 The classroom teacher provided me with enough support* 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 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:CAPTCHA
