Class Registration

I completed my JA Class!

I completed my JA Class!

Thank you for volunteering with us this year. As a final step the JA office needs your help by confirming your class. In order for us to actually count the students that you reached as impacted with the JA program, JA must have written documentation stating that the class was completed.

* denotes a required field

I Agree that this information is correct: *

I agree

Name: *

Email: *

School Name: *

Teacher Name: *

Grade Level: *
K 1 2 3 4 5 6 7 8 9 10 11 12
Number of Students in the Class: *

Number of Lessons Taught: *
1 2 3 4 5 6 7 8 9 10
Completion Date: *

Comments:

* In order to prevent abuse of the system, please enter the 6 digit code
you see below into the text entry field to the right before submitting this form.