JA Company Program Alerts

JA Company Program Interest Form FY 23

Note: Your privacy is very important to us. To better serve you, the form information you enter is recorded in real time.

I am a:*

Name*

First Name

Last Name

Email*

Grade*

Student's Grade:*

LOCATION: I am interested in participating in (or having my child participate in) the JA Company Program in:*

Preferred Location:*

Preferred Meeting Day:*

Preferred Meeting Time:*

Location:*

Other:*

I am interested in:*

Hosting JA Company Program in my classroom or after-school program Recommending JA Company Program afterschool program to my students Learning about additional opportunities with JA

How did you hear about the JA Company Program?*

What concerns do you have regarding your ability to participate in the JA Company Program?*

None Transportation Meeting Day/Time Time Commitment

Other: