BCC Host Information

Salutation*

Name*

First Name

Last Name

Email*

Cell Phone Number*

Title*

Business or Organization Name*

Business Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Office Phone Number*

Website Address*

Organization Type*

Name of Contact Person for event day*

First Name

Last Name

Cell Phone*

Email Address*

Day of Event Contact Title*

What is the maximum number of students you will be able to accommodate? Students must be in groups of two or more throughout their shadow experience.*

Will you provide transportation for your students to and from your work facility?*

Will students remain at your main facility throughout the day?*

If students will leave your main facility for a portion of their day, will you provide transportation to and from their destination?*

Will you provide lunch for the students?*

Is your facility and/or site handicapped accessible?*

Is your facility accessible from B-CC High School via walking, Metro Rail or bus?*

Walking Metro Rail Metro Bus

Please check all that apply.

Do students need additional permission slips, identification or U.S. citizenship to enter your facility?*

Students need additional permission slips Students must bring identification Students must be U.S. citizens Students do not need additional permission or documentation to enter facility No

Other:

Please check all that apply

What activities will students experience during the day?*

Will you or a representative attend the event kick-off breakfast and student networking session from 8:00-8:45 am the morning of the event?*

If yes, please note the number of attendees.*

In very basic terms, what does your company do, and what is your job?*

What would you like your students to research about your field or office prior to their arrival?*

What would you like to know about your students prior to their arrival?*

What is the best way for students to contact you?*

Please note any additional comments or special accommodations.

The Host Participation Agreement

I understand that this experience is intended to expose students to the career paths, skills and tools of my field and I agree to provide students with experiential learning activities that support this mission throughout the day.
I understand that students must be placed in groups of two or more throughout their experience.
I understand that my business or organization is responsible for providing lunch or suitable lunch facilities for students.
I understand that I am responsible for providing Junior Achievement with any additional permission slips necessary for students to enter my work facility.

Junior Achievement Conduct Standards Agreement

Each year Junior Achievement staff shall convey these standards in writing to all volunteers. Junior Achievement serves youth. Our volunteers teach valuable lessons with each word and especially with their conduct. Adult misconduct with youth carries serious consequences. Because Junior Achievement cares that its volunteers have healthy relationships with the youth they serve, it has established these standards.

1. Young people look to adults for examples of appropriate behavior. JA volunteers must use appropriate language and model honorable behavior, such as respect, integrity, honesty, and excellence. Profanity or sexualized language or jokes is inappropriate around students. Violating state law regarding interactions with youth, e.g., providing them alcohol or illegal drugs, is forbidden.

2. Volunteers must take particular care when touching youth. Most people understand the difference between appropriate touching, like a handshake or pat on the back, and touching which is sexual or disrespectful. Volunteers must also consider how any physical contact may be perceived.

3. Interactions with students must both be appropriate and appear appropriate. Volunteers will spend most time with groups of students, although occasionally one-to-one situations may occur. Prior to any one-to-one interaction, a JA volunteer generally should ensure another adult is present or aware of the situation. Favoritism, or the appearance of favoritism, should be avoided.

4. Volunteers are responsible for the quality of interactions. Students often find it difficult to state discomfort or objections. Volunteers must be especially sensitive to physical and verbal cues that youth provide.

These are examples only, not a comprehensive list. Other actions not listed could result in suspension or dismissal as a volunteer.

Junior Achievement takes all complaints of misconduct seriously. Credible allegations of misconduct will be promptly investigated by the appropriate authorities. During any such investigation, the JA volunteer will be placed on leave. If an investigation determines misconduct occurred, it will result in the immediate and permanent dismissal as a JA volunteer.

Any JA staff member or volunteer who reasonably suspects misconduct must report these suspicions immediately to the appropriate JA staff person at the local office.

By signing this, I hereby certify that I have never been charged with a crime of violence or a crime involving a child or young person, or, if I have, that I have fully disclosed in writing the facts regarding such a charge to the local Junior Achievement office.

Host Participation and Junior Achievement Conduct Standards Agreement Verification*

I understand and agree to comply with the terms of the Host Participation Agreement and Junior Achievement Conduct Standards Agreement above.

Signature*

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